Organization · Type 2 NPI

Jordan Residential & Vocational Services Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Pueblo, CO

NPI number 1124757745 Active

Practice location

2928 Withers Ave
Pueblo, CO 81008-1248

Call (719) 543-8178 Map

Fax (719) 545-8583

Mailing address

PO Box 8477
Pueblo, CO 81008-8477

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1124757745

Jordan Residential & Vocational Services Inc.'s National Provider Identifier is 1124757745, issued on Jun 8, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Pueblo, CO. The record was last updated on Jun 8, 2022.