Fremont County Group Homes

NPI #1124593421 in Riverton, Wyoming

Provider Information

NPI Number
1124593421
Entity Type
Organization
Organization Name
Fremont County Group Homes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Oct 12, 2018
Last Updated
Oct 12, 2018

Practice Location

Address
11 MINTER LN
State
Wyoming
ZIP Code
82501-8959
Phone
(307) 856-2643

Authorized Official

Name
DANA MARIE FLINT
Title
EXECUTIVE DIRECTOR
Phone
(307) 856-2643

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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