Healthcare Provider Details

I. General information

NPI: 1902324668
Provider Name (Legal Business Name): CLARION DAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2017
Last Update Date: 08/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3317 POST RD
LAPORTE CO
80535
US

IV. Provider business mailing address

PO BOX 651
LAPORTE CO
80535-0651
US

V. Phone/Fax

Practice location:
  • Phone: 970-631-1427
  • 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 Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. WILL JONES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 970-631-1427