Jordan Residential & Vocational Services Inc.

NPI #1124757745 in Pueblo, Colorado

Provider Information

NPI Number: 1124757745
Entity Type: Organization
Organization Name: Jordan Residential & Vocational Services Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 8, 2022
Last Updated: Jun 8, 2022

Practice Location

Address: 2928 WITHERS AVE
City: Pueblo
State: Colorado
ZIP Code: 81008-1248
Phone: (719) 543-8178

Authorized Official

Name: MR. MIKE EDWARD JORDAN
Title: OWNER
Phone: (719) 251-4604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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