JNB HEADWATERS LLC NPI 1356891907

NPI Information

JNB HEADWATERS, LLC is a respite care and mental retardation and/or developmental disabilities respite care in Pine, CO. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. JNB HEADWATERS, LLC NPI is 1356891907. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16791 S BRYNMAWR RD
PINE, CO
ZIP 80470-855
Phone: (303) 838-9784
Fax: (303) 838-9784

The provider's authorized official is James A Owsiany .
The authorized official title is Director and has the following contact phone number (720) 202-1268.

The enumeration date for this NPI number is 10/7/2016 and was last updated on 2/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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