NPI: 1760921274 · PUEBLO, CO 81007 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 02/16/2017
| Authorized Official | DEMARIA, J R (DIRECTOR) |
| NPI Enumeration Date | 02/16/2017 |
Other providers sharing the same authorized official: DEMARIA, J R
| Provider | City | State | Total Paid |
|---|---|---|---|
| PUEBLO REGIONAL CENTER | PUEBLO WEST | CO | $39.15M |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 425 | $79K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2016 | Habilitation, residential, waiver; per diem | 425 | 13 | $79K |