NPI 1245859701

Envision Creative Support for People With Developmental Disabilities

Organisation Case Management Agency Evans, CO

Practice location

Address: 1050 37th St, Evans, CO 80620-2115
Phone: (970) 313-2628
Mailing address: PO Box 200069, Evans, CO 80620-0069

Authorised official

Name: Lori Jean Fleming
Title: Billing Tech
Phone: (970) 313-2628

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1245859701
Entity type: Organization
NPI issued: 14 Apr 2020
Record last updated: 14 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.