Organization
CHEYENNE ASSISTED LIVING & SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY D ADAMS (OWNER)
(307) 256-9323
Entity
Organization
Contact information
Practice address
807 MITCHELL CT, CHEYENNE, WY 82007-2814
(307) 256-9323
Mailing address
807 MITCHELL CT, CHEYENNE, WY 82007-2814
(307) 256-9323
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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