Organization · Type 2 NPI

Individual Canvas LLC

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

NPI number 1245938257 Active

Practice location

46 Regency Blvd Apt I
Pueblo, CO 81005-1831

Call (719) 334-3123 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed
Transportation Broker 347E00000XNone 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 1245938257

Individual Canvas LLC's National Provider Identifier is 1245938257, issued on Feb 20, 2023. 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 Mar 13, 2023.