Provider Demographics
NPI:1861027492
Name:CONNECTIONS FOR INDEPENDENT LIVING
Entity Type:Organization
Organization Name:CONNECTIONS FOR INDEPENDENT LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRANSITION COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:F
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-352-8682
Mailing Address - Street 1:1331 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-4601
Mailing Address - Country:US
Mailing Address - Phone:970-352-8682
Mailing Address - Fax:970-353-8058
Practice Address - Street 1:1331 8TH AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-4601
Practice Address - Country:US
Practice Address - Phone:970-352-8682
Practice Address - Fax:970-353-8058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management