Southeastern Developmental Services, Inc

LBN: Southeastern Developmental Services, Inc
Southeastern Developmental Services, Inc is an health care organization with primary practice located at 1111 South 4Th Street , Lamar CO 81052-3804. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Homemaker. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Southeastern Developmental Services, Inc can be contacted via phone (719) 336-3244, or through Engsberg, Kimberly via phone (719) 336-3244.

Contact Information

Primary practice address
1111 South 4Th Street Lamar CO 81052-3804
Phone: (719) 336-3244
Fax: (719) 336-3898
Website:
Map and Directions
Authorized official contact:
Name: Engsberg, Kimberly
Phone: (719) 336-3244

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Colorado
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1437377082
LBN Legal business name Southeastern Developmental Services, Inc
DBA Doing business as
Authorized official Engsberg, Kimberly
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2007
Last updated Jan 23rd, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437377082 NPPES
Colorado MEDICAID 09141409

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