Organization
REVOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LEE BARNES (OWNER)
(307) 534-5854
Entity
Organization
Contact information
Practice address
3765 BIG HORN ST, TORRINGTON, WY 82240-1507
(307) 534-5854
Mailing address
3765 BIG HORN ST, TORRINGTON, WY 82240-1507
(307) 534-5854
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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