Organization
THE VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY MILLER (PARTNER)
(307) 575-0183
Entity
Organization
Contact information
Practice address
103 BRIAN RD, TORRINGTON, WY 82240-9120
(307) 575-0183
Mailing address
103 BRIAN RD, TORRINGTON, WY 82240-9120
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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