Provider Demographics
NPI:1083178354
Name:A RESOURCE FOR SPECIAL NEEDS AND MEDICAID WAIVERS, LLC
Entity Type:Organization
Organization Name:A RESOURCE FOR SPECIAL NEEDS AND MEDICAID WAIVERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALY
Authorized Official - Middle Name:
Authorized Official - Last Name:TWIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-733-2121
Mailing Address - Street 1:719 LANSING DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-5417
Mailing Address - Country:US
Mailing Address - Phone:661-733-2121
Mailing Address - Fax:
Practice Address - Street 1:719 LANSING DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5417
Practice Address - Country:US
Practice Address - Phone:661-733-2121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management