NPI 1013548866
Envision Creative Support for People With Developmental Disabilities
Practice location
- Address
- 1050 37th Street, Evans, CO 80620-0069
- Phone
- (970) 339-5360
- Fax
- (970) 330-2261
- Mailing address
- PO Box 200069, Evans, CO 80620-0069
Authorised official
- Name
- Lori Jean Fleming
- Title
- Billing Tech
- Phone
- (970) 313-2628
Registered specialties (2)
Case Management Agency
Primary
Respite Care
Registry record
- NPI
- 1013548866
- Entity type
- Organization
- NPI issued
- 30 Jan 2020
- Record last updated
- 8 Apr 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.