NPI: 1912352071
Provider Name: MY SECOND HOME
Doing Business As: MEGAN'S PLACE, LLC
Classification: Respite Care - 385HR2060X
Entity Type: Organization
Specialization: Respite Care, Intellectual and/or Developmental Disabilities
Address:
6175 W 38TH AVE
WHEAT RIDGE, CO
ZIP 80033
Phone: (303) 881-4988
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MY SECOND HOME is a respite care and mental retardation and/or developmental disabilities respite care in Wheat Ridge, 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. MY SECOND HOME NPI is 1912352071. The provider is registered as an organization entity type.
The provider Is Doing Business As Megan's Place, Llc.
The provider's business location address is:
6175 W 38TH AVE
WHEAT RIDGE, CO
ZIP 80033-146
Phone: (303) 881-4988
Fax: (303) 237-1043
The provider's authorized official is Kristin N Smock .
The authorized official title is Director Of Operations and has the following contact phone number (720) 427-1979.
The enumeration date for this NPI number is 4/26/2016 and was last updated on 4/26/2016.