Bridges Habilitation Services INC.
Day Training, Developmentally Disabled Services in Evanston, WY. Organization (NPI-2).
NPI number1740518133
StatusActive
Last updated in NPPESOct 13, 2015
Details
- NPI
- 1740518133
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridges Habilitation Services INC.
- Organization subpart
- No
- Enumeration date
- Nov 24, 2009
- Last updated
- Oct 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – |
Other names
- Bridges (Doing Business As)
Practice location
1425 Highway 150 SSte 2
Evanston, 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
Authorized official
David M. Canen
Ceo
3077890664
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