Smith Street LLC
NPI #1013367705 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1013367705
- Entity Type
- Organization
- Organization Name
- Smith Street LLC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Jun 14, 2016
- Last Updated
- Oct 20, 2016
Practice Location
- Address
- 308 SMITH ST.
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80524
- Phone
- (970) 484-8250
Authorized Official
- Name
- MS. DIANE LEE REHNER
- Title
- DIRECTOR
- Phone
- (970) 484-8250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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| MRS. Shannah Cloe Scott | |
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