Organization
ARK REGIONAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEROY MARTIN (VP - FINANCE)
(307) 742-6641
Entity
Organization
Contact information
Practice address
1150 N 3RD STREET, LARAMIE, WY 82072
(307) 742-6641
(307) 742-9203
Mailing address
1150 N 3RD STREET, LARAMIE, WY 82072-2514
(307) 742-6641
(307) 742-9203
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100128100
—
WY
05
—
100128111
—
WY
05
—
100128112
—
WY
Enumeration date
10/23/2006
Last updated
09/07/2018
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