CHEYENNE ASSISTED LIVING & SUPPORT NPI 1538370895

NPI Information

CHEYENNE ASSISTED LIVING & SUPPORT is a respite care and mental retardation and/or developmental disabilities respite care in Cheyenne, WY. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. CHEYENNE ASSISTED LIVING & SUPPORT NPI is 1538370895. The provider is registered as an organization entity type.

The provider's business location address is:

807 MITCHELL CT
CHEYENNE, WY
ZIP 82007-814
Phone: (307) 256-9323

The provider's authorized official is Timothy D Adams .
The authorized official title is Owner and has the following contact phone number (307) 256-9323.

The CLIA number assigned to this NPI record is 53D1040671 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/25/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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