Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SANDRA DOUGLAS
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · GREELEY, CO
Registration Details
- NPI Number
- 1457875999
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 26, 2017 (8.7390491317596 yrs)
- Last Updated
- Jul 26, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
3109 66TH AVEGREELEY, CO, 806348932Browse CO providers · Browse ZIP 80634
- Phone
- 3144130043
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.