Organization
BRIDGES HABILITATION SERVICES INC.
Active
Other names
Bridges
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M. CANEN (CEO)
(307) 789-0664
Entity
Organization
Contact information
Practice address
1425 HIGHWAY 150 S, STE 2, EVANSTON, WY 82930-5377
(307) 789-0664
(307) 789-1902
Mailing address
PO BOX 1642, EVANSTON, WY 82931-1642
(307) 789-0664
(307) 789-1902
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/24/2009
Last updated
10/13/2015
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