Whalio Doctors

NPI 1013548866

Envision Creative Support for People With Developmental Disabilities

Organisation Case Management Agency Evans, CO

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
Agencies Taxonomy 251B00000X
Respite Care
Respite Care Facility Taxonomy 385H00000X

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.