Bridges Habilitation Services INC.
Non-Pharmacy Dispensing Site in Evanston, WY. Organization (NPI-2).
NPI number1245305804
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1245305804
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridges Habilitation Services INC.
- Organization subpart
- No
- Enumeration date
- Nov 21, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | 115726400 | WY | Yes |
| 133V00000X | Dietitian, Registered | 115726400 | WY | |
| 163W00000X | Registered Nurse | 115726400 | WY | |
| 251B00000X | Case Management | 115726400 | WY | |
| 251C00000X | Day Training, Developmentally Disabled Services | 115726400 | WY | |
| 251J00000X | Nursing Care | 115726400 | WY | |
| 261QD1600X | Clinic/Center, Developmental Disabilities | 115726400 | WY | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 115726400 | WY | |
| 385H00000X | Respite Care | 115726400 | WY | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | 115726400 | WY |
Other names
- Bridges (Other Name)
Practice location
100 Bear River DrEvanston, WY 82930-2804
Phone 307-789-0664 · Fax 307-789-1902
Mailing address
Po Box 1642Evanston, WY 82931-1642
Phone 307-789-0664 · Fax 307-789-1902
Authorized official
David M. Canen
Ceo
3077890664
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