Provider Demographics
NPI:1649471194
Name:TIMBERLINE ADULT DAY SERVICES
Entity type:Organization
Organization Name:TIMBERLINE ADULT DAY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:NHA - LPN
Authorized Official - Phone:970-668-2952
Mailing Address - Street 1:PO BOX 1327
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443-1327
Mailing Address - Country:US
Mailing Address - Phone:970-668-2952
Mailing Address - Fax:970-668-2954
Practice Address - Street 1:0151 PEAK ONE BLVD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-1327
Practice Address - Country:US
Practice Address - Phone:970-668-2952
Practice Address - Fax:970-668-2954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care