Organization
PERSONALIZED SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY CHRISTIE (CO-OWNER)
(307) 797-1931
Entity
Organization
Contact information
Practice address
1704 JIM BRIDGER AVE, CASPER, WY 82604-3184
(307) 797-1931
Mailing address
PO BOX 1805, MILLS, WY 82644-1805
(307) 797-1931
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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