Organization
FREMONT COUNTY GROUP HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA MARIE FLINT (EXECUTIVE DIRECTOR)
(307) 856-2643
Entity
Organization
Contact information
Practice address
11 MINTER LN, RIVERTON, WY 82501-8959
(307) 856-2643
Mailing address
11 MINTER LN, RIVERTON, WY 82501-8959
(078) 562-6433
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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