Brooke Noell Elardi
Day Training, Developmentally Disabled Services in Evanston, WY. Individual provider (NPI-1).
NPI number1326301896
StatusActive
Last updated in NPPESJul 13, 2015
Details
- NPI
- 1326301896
- Entity type
- Individual (NPI-1)
- Name
- Ms. Brooke Noell Elardi
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2012
- Last updated
- Jul 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
1425 State Highway 150 SEvanston, WY 82930-5377
Phone 307-789-0664 · Fax 307-789-1902
Mailing address
Po Box 1642Evanston, WY 82931-1642
Phone 307-789-0664 · Fax 307-789-1902
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