MR. ALFREDO ANTILLON NPI 1538366505

NPI Information

  • NPI: 1538366505
  • Provider Name: MR. ALFREDO ANTILLON
  • Classification: Day Training, Developmentally Disabled Services - 251C00000X
  • Entity Type: Individual
  • Address: 720 WIND RIVER DR
    B
    GREEN RIVER, WY
    ZIP 82935
  • Phone: (307) 875-5781

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NPI Details

MR. Alfredo Antillon is a day training developmentally disabled services in Green River, WY. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. MR. Alfredo Antillon NPI is 1538366505. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

720 WIND RIVER DR
B
GREEN RIVER, WY
ZIP 82935-725
Phone: (307) 875-5781

The enumeration date for this NPI number is 7/2/2007 and was last updated on 7/8/2007.

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
1251C00000XDay Training, Developmentally Disabled ServicesYes

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: 3/30/2025

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