| NPI | 1972041192 |
|---|---|
| Other Name | VISTA DEL RAE GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | DUANE ROY Executive Director 719-846-4409 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 347B00000X Bus | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2023-10-23 |