NPI 1821633702

Portville Group

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Denver, CO

Practice location

Address: 5568 Hannibal CT, Denver, CO 80239-5696
Phone: (323) 636-7944

Authorised official

Name: Yusuff Omotayo Kazzim
Title: Chief Executive Officer
Phone: (323) 636-7944

Registered specialties (5)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Colorado →

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Homemaker

Nursing Service Related Providers Taxonomy 376J00000X

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Respite Care

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1821633702
Entity type: Organization
NPI issued: 14 Nov 2019
Record last updated: 9 Dec 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.