Organization
TRINITY CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENNA EDWARD (COORDINATOR)
(307) 275-2639
Entity
Organization
Contact information
Practice address
1603 CAPITOL AVE, SUITE 510, CHEYENNE, WY 82001-4569
(307) 635-2888
Mailing address
1603 CAPITOL AVE, SUITE 510, CHEYENNE, WY 82001-4569
(307) 275-2639
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
132080700
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132080700
—
WY
Enumeration date
12/26/2012
Last updated
12/26/2012
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