PORTVILLE GROUP NPI 1821633702

NPI Information

PORTVILLE GROUP is a residential treatment facility, intellectual and/or developmental disabilities in Denver, CO. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. PORTVILLE GROUP NPI is 1821633702. The provider is registered as an organization entity type.
The provider Is Doing Business As Portville Home Care Services.

The provider's business location address is:

5568 HANNIBAL CT
DENVER, CO
ZIP 80239-696
Phone: (323) 636-7944

The provider's authorized official is Yusuff Omotayo Kazzim .
The authorized official title is Chief Executive Officer and has the following contact phone number (323) 636-7944.

The enumeration date for this NPI number is 11/14/2019 and was last updated on 12/9/2020.

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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