Organization
ALLIANCE FOR SELF-DETERMINATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA OSWALD (CEO)
(307) 638-1979
Entity
Organization
Contact information
Practice address
419 W 18TH ST, CHEYENNE, WY 82001-4331
(307) 638-1979
Mailing address
PO BOX 21772, CHEYENNE, WY 82003-7053
(307) 638-1979
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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