Tehla Marie Bates Stayer
Day Training, Developmentally Disabled Services in Cheyenne, WY. Individual provider (NPI-1).
NPI number1588026751
StatusActive
Last updated in NPPESDec 29, 2020
Details
- NPI
- 1588026751
- Entity type
- Individual (NPI-1)
- Name
- Tehla Marie Bates Stayer
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2016
- Certification date
- Dec 29, 2020
- Last updated
- Dec 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | Yes |
| 251B00000X | Case Management | – | WY |
Practice location
3406 E Pershing BlvdCheyenne, WY 82001-5916
Phone 307-421-2465
Mailing address
3406 E Pershing BlvdCheyenne, WY 82001-5916
Phone 307-421-2465
Other practice locations
1714 Treadway Trl
Cheyenne, WY 82009-9058
Cheyenne, WY 82009-9058
Phone 307-421-2465
5812 Sycamore Rd
Cheyenne, WY 82009-4331
Cheyenne, WY 82009-4331
Phone 307-421-2465
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All 131 Developmentally Disabled Services Day Training Agency providers in Cheyenne · All 3,729 providers in Cheyenne
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