Intellectual Disability Support INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Aurora, CO. Organization (NPI-2).
NPI number1255678009
StatusActive
Last updated in NPPESJan 14, 2013
Details
- NPI
- 1255678009
- Entity type
- Organization (NPI-2)
- Legal business name
- Intellectual Disability Support INC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2013
- Last updated
- Jan 14, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 253J00000X | Foster Care Agency | – | – | |
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | |
| 320700000X | Residential Treatment Facility, Physical Disabilities | – | – | |
| 385H00000X | Respite Care | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – | |
| 385HR2065X | Respite Care, Respite Care, Physical Disabilities, Child | – | – |
Practice location
18199 E Lasalle PlAurora, CO 80013-5919
Phone 720-748-0907
Mailing address
Po Box 472065Aurora, CO 80047-2065
Phone 720-748-0907
Authorized official
Elsworth E Dacres
Executive Director
3035472333
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