Premium Direct Care Providers Inc
Premium Direct Care Providers Inc is a Developmental Disabilities Clinic/Center in Pueblo, Colorado. Registered with an NPI since 2015.
- In the registry since
- 2015
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1612 Bonforte BlvdPueblo, CO 81001-1603
Phone: (719) 543-3600
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X |
|---|
Record details
| NPI number | 1346615085 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joann Madrid — President · (719) 543-3600 |
| NPI enumerated | December 7, 2015 |
| Last updated in NPPES | December 7, 2015 |
| Mailing address | 1612 Bonforte Blvd, Pueblo, CO 81001-1603 |