Tri County Housing & Cdc

NPI #1073035242 in Fowler, Colorado

Provider Information

NPI Number: 1073035242
Entity Type: Organization
Organization Name: Tri County Housing & Cdc
Primary Specialty: Contractor - Home Modifications
Enumeration Date: Jul 10, 2017
Last Updated: Jun 16, 2018

Practice Location

Address: 34385 HWY 167
City: Fowler
State: Colorado
ZIP Code: 81039-0087
Phone: (719) 263-5168

Authorized Official

Name: MR. GORDON WAYNE RAY
Title: REHAB COORDINATOR
Phone: (719) 263-5168

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor - Home Modifications — Home Modifications	171WH0202X	Primary

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