BRIDGES OF WYOMING INC NPI 1710330782

NPI Information

NPI: 1710330782
Provider Name: BRIDGES OF WYOMING, INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
6101 YELLOWSTONE RD
SUITE 153
CHEYENNE, WY
ZIP 82009
Phone: (307) 514-6025
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BRIDGES OF WYOMING, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Cheyenne, WY. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. BRIDGES OF WYOMING, INC NPI is 1710330782. The provider is registered as an organization entity type.

The provider's business location address is:

6101 YELLOWSTONE RD
SUITE 153
CHEYENNE, WY
ZIP 82009-445
Phone: (307) 514-6025

The provider's authorized official is Jonathan Burlison .
The authorized official title is Ceo and has the following contact phone number (812) 478-0724.

The enumeration date for this NPI number is 7/14/2016 and was last updated on 7/14/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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