Healthcare Provider Details

I. General information

NPI: 1801371265
Provider Name (Legal Business Name): COLORADO FOUNDATION FOR CONDUCTIVE EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2018
Last Update Date: 11/08/2021
Certification Date: 11/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8250 W 80TH AVE STE 8
ARVADA CO
80005-4496
US

IV. Provider business mailing address

PO BOX 746297
ARVADA CO
80006-6297
US

V. Phone/Fax

Practice location:
  • Phone: 507-301-7617
  • Fax:
Mailing address:
  • Phone: 970-677-0348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. JENNIFER DOYLE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 970-667-0348