Whalio Doctors

NPI 1255145611

Legacy Health Services LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Commerce City, CO

Practice location

Address
16003 E 107th Ave, Commerce City, CO 80022-8723
Phone
(317) 702-2547

Authorised official

Name
Olawale Sunday Fakuade
Title
Director/Owner
Phone
(317) 702-2547

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X

Registry record

NPI
1255145611
Entity type
Organization
NPI issued
5 Feb 2025
Record last updated
5 Feb 2025

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.