npidexNPI registry + Medicare data

INDIVIDUAL CANVAS LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · PUEBLO, CO

Organization Active NPI 1245938257

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X✓——
Transportation Broker347E00000X——

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.