Devereux Cleo Wallace

LBN: Devereux Cleo Wallace
Devereux Cleo Wallace is an health care organization with primary practice located at 8405 Church Ranch Blvd , Westminster CO 80021-3918. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Devereux Cleo Wallace can be contacted via phone (303) 466-7391, or through Wright, Bonnie via phone (303) 438-2265.

Contact Information

Primary practice address
8405 Church Ranch Blvd Westminster CO 80021-3918
Fax:
Website:
Authorized official contact:
Name: Wright, Bonnie

Profile Details

NPI number 1184723660
LBN Legal business name Devereux Cleo Wallace
DBA Doing business as
Authorized official Wright, Bonnie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Mar 11th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184723660 NPPES
Colorado MEDICAID 05350053
Colorado MEDICAID 17284554

Popular Providers