Organization · Type 2 NPI
JNB Headwaters, LLC
Child Intellectual and/or Developmental Disabilities Respite Care · Pine, CO
NPI number
1356891907
Active
Practice location
16791 S Brynmawr Rd
Pine, CO 80470-8855
Fax (303) 838-9784
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Homemaker | 376J00000X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | None listed |
Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
Another provider at this address
About NPI 1356891907
JNB Headwaters, LLC's National Provider Identifier is 1356891907, issued on Oct 7, 2016. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Pine, CO. The record was last updated on Feb 20, 2017.