Organization
JY ADEKALE GLOBAL INITIATIVE
Active
Other names
Developmental Resource Center
Organization subpart
No
Provider details
NPI number
Authorized official
ADEBOWALE O. ADEKALE (ADMINISTRATOR)
(307) 514-0921
Entity
Organization
Contact information
Practice address
4913 RIDGE RD, CHEYENNE, WY 82009-5309
(307) 514-0921
Mailing address
4913 RIDGE RD, CHEYENNE, WY 82009-5309
(307) 514-0921
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127297700
—
WY
Enumeration date
07/03/2009
Last updated
07/03/2009
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