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General NPI Number Information
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NPI Number | 1831544410
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Entity Type | Organization
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Legal Business Name | PARKER PERSONAL CARE HOMES, INC.
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 03/07/2017
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Provider Practice Location Address
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Address Line | 1597 COLE BLVD SUITE 250
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City | LAKEWOOD
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State | CO
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Zip | 80401-3414
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Country | US
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Telephone | 303-424-6078
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Fax | 303-424-6194
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Provider Business Mailing Address
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Address Line | 1597 COLE BLVD SUITE 250
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City | LAKEWOOD
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State | CO
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Zip | 80401-3414
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Country | US
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Telephone | 303-424-6078
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Fax | 303-424-6194
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JODI WALTERS
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Credential |
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Telephone | 303-424-6078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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