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Search › Colorado › Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Mike Jordan

NPI 1790153039 · on the registry since 2015 · sole proprietor

Practice

Address
2928 Withers Ave
Pueblo, CO 81008
Phone
(719) 543-8178
Fax
(719) 545-8583
Organisation at this address
Jordan Residential & Vocational Services Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Sex
Male
Record last updated
2015-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado