Organization
GOODWILL INDUSTRIES OF WYOMING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANA KAY CONINE MA (CEO)
(307) 634-0823
Entity
Organization
Contact information
Practice address
612 W 17TH ST, CHEYENNE, WY 82001-4343
(307) 634-0823
Mailing address
612 W 17TH ST, CHEYENNE, WY 82001-4343
(307) 634-0823
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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