Healthcare Provider Details

I. General information

NPI: 1639613938
Provider Name (Legal Business Name): HORIZONS SPECIALIZED SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2016
Last Update Date: 12/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 BREEZE ST
CRAIG CO
81625-2504
US

IV. Provider business mailing address

PO BOX 774867
STEAMBOAT SPRINGS CO
80477-4867
US

V. Phone/Fax

Practice location:
  • Phone: 970-824-7804
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: SUSAN MIZEN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 970-879-4466