Healthcare Provider Details

I. General information

NPI: 1376049882
Provider Name (Legal Business Name): FAMILIES FOR FAMILIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2018
Last Update Date: 01/23/2023
Certification Date: 01/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6365 WATERFALL LOOP
MANITOU SPRINGS CO
80829-5824
US

IV. Provider business mailing address

6365 WATERFALL LOOP
MANITOU SPRINGS CO
80829-5824
US

V. Phone/Fax

Practice location:
  • Phone: 719-999-8779
  • Fax:
Mailing address:
  • Phone: 719-999-8779
  • 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 Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: JOY E GEHRHOLZ
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 719-644-2737