Eaglesnest Group Center
Organization Active NPI Physical Disabilities Residential Treatment Facility · Bailey, CO
NPI 1609045350 · NPPES record last updated Feb 27, 2008
Key facts
- NPI
- 1609045350
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Disabilities Residential Treatment Facility 320700000X
- License
- 1544800 (CO)
- Legal business name
- EAGLESNEST GROUP CENTER
- Practice address
- 1149 Dick Mountain Dr
Bailey, CO 80421-2097 - Phone
- (303) 838-2468
- Fax
- (303) 838-2478
- NPI assigned
- Feb 27, 2008
- Organization subpart
- No
Authorized official
- Name
- Melanie Virginia Kennedy
- Title
- Administratot
- Phone
- (303) 838-2468
Corporate family (same tax ID) 1
Practitioners 1
National Provider Directory
- Tax ID family
- Eagle'S Nest Group Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 1544800 | CO | Yes |
Addresses
Primary practice location
1149 Dick Mountain Dr
Bailey, CO 80421-2097
Mailing address
1149 Dick Mountain Dr
Bailey, CO 80421-2097
Phone (303) 838-2468
Other providers in Bailey, CO
- Diversus Health Inc
- Diversus Health Inc
- Jennifer Dailey Dougherty
- Wendy L Dutton
- Eagle'S Nest Group Center
- Edge Medical Services
- Elevation Gain Counseling Services LLC
- Family Integration Counseling Service, Inc.
- Five Points Wellness, LLC
- Thomas Michael Fosler
All providers in Bailey, CO · Physical Disabilities Residential Treatment Facility in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.