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Marion House

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Burlington, CO

NPI 1285848655 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1285848655
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License
0033 (CO)
Legal business name
MARION HOUSE
Practice address
567 18TH St
Burlington, CO 80807-1521
Phone
(719) 346-5398
Fax
(719) 346-6010
NPI assigned
May 9, 2007
Organization subpart
No

Authorized official

Name
Cheryl Reese
Title
Executive Director
Phone
(719) 346-5664

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Dynamic Dimensions Inc (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 0033 CO Yes

Addresses

Primary practice location

567 18TH St
Burlington, CO 80807-1521

Mailing address

212 Marion St
Burlington, CO 80807-1339
Phone (719) 346-5664

Other identifiers

IdentifierTypeStateIssuer
09141912MedicaidCO

Other providers in Burlington, CO

All providers in Burlington, CO · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado

Sources for this page

Verify at the official NPI Registry.