Provider Demographics
NPI:1043499023
Name:REM COLORADO, INC.
Entity Type:Organization
Organization Name:REM COLORADO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-529-3060
Mailing Address - Street 1:4815 LIST DR
Mailing Address - Street 2:SUITE 116
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-3310
Mailing Address - Country:US
Mailing Address - Phone:719-266-1084
Mailing Address - Fax:719-266-0623
Practice Address - Street 1:4815 LIST DR
Practice Address - Street 2:SUITE 116
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-3310
Practice Address - Country:US
Practice Address - Phone:719-266-1084
Practice Address - Fax:719-266-0623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital