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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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