Organization
LIFENET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIYANNA CURTIS (EXECUTIVE DIRECTOR)
(307) 358-5193
Entity
Organization
Contact information
Practice address
809 S 9TH ST, DOUGLAS, WY 82633-2959
(307) 358-5193
Mailing address
809 S 9TH ST, DOUGLAS, WY 82633-2959
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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