NPI 1609045350

Eaglesnest Group Center

Organisation Physical Disabilities Residential Treatment Facility Bailey, CO

Practice location

Address: 1149 Dick Mountain Dr, Bailey, CO 80421-2097
Phone: (303) 838-2468
Fax: (303) 838-2478

Authorised official

Name: Melanie Virginia Kennedy
Title: Administratot
Phone: (303) 838-2468

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 1544800 (CO)

Other Residential Treatment Facility, Physical Disabilities providers in Colorado →

Registry record

NPI: 1609045350
Entity type: Organization
NPI issued: 27 Feb 2008
Record last updated: 27 Feb 2008

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.