Individual
ELIZABETH DELL YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 COFFEEN AVE # 13314, SHERIDAN, WY 82801-5777
(310) 971-9159
Mailing address
1309 COFFEEN AVE # 13314, SHERIDAN, WY 82801-5777
(310) 971-9159
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251T00000X
PACE Provider Organization
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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