Organization
AMANDA BARNES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA LEE BARNES (CASE MANAGER)
(307) 534-5854
Entity
Organization
Contact information
Practice address
3765 BIG HORN ST, TORRINGTON, WY 82240-1507
(307) 534-5854
Mailing address
3765 BIG HORN ST, TORRINGTON, WY 82240-1507
(307) 534-5854
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
155079
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128400200
—
WY
Enumeration date
02/10/2016
Last updated
02/10/2016
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