Organization
DARE TO LIVE , LLC
Active
Other names
Dare to Live, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENEIL BOLES (OWNER)
(307) 277-7352
Entity
Organization
Contact information
Practice address
8700 W POISON SPIDER RD, CASPER, WY 82604-9507
(307) 277-7352
Mailing address
8700 W POISON SPIDER RD, CASPER, WY 82604-9507
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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