Whalio Doctors

NPI 1407440134

Southeastern Developmental Services, INC

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

Practice location

Address
1111 S 4th St, Lamar, CO 81052-3804
Phone
(719) 336-3244
Mailing address
PO Box 328, Lamar, CO 81052-0328

Authorised official

Name
Kristina Fiene
Title
Finance/Hr Manager
Phone
(719) 336-3244

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1407440134
Entity type
Organization
NPI issued
23 Feb 2021
Record last updated
23 Feb 2021

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.