Organization · Type 2 NPI

Jacob House

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

NPI number 1619479441 Active

Practice location

13420 W Warren Ave
Lakewood, CO 80228-4616

Call (303) 525-6141 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
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 1619479441

Jacob House's National Provider Identifier is 1619479441, issued on Mar 7, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Lakewood, CO. The record was last updated on Apr 16, 2018.