INDIVIDUAL CANVAS LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Pueblo, CO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. INDIVIDUAL CANVAS LLC NPI is 1245938257. The provider is registered as an organization entity type.
The provider's business location address is:
46 REGENCY BLVD APT I
PUEBLO, CO
ZIP 81005-831
Phone: (719) 334-3123
The provider's authorized official is Theresa Marie Sandoval .
The authorized official title is Executive Director and has the following contact phone number (719) 334-3123.
The enumeration date for this NPI number is 2/20/2023 and was last updated on 3/13/2023.