B.a.c.a. Case Managment LLC

NPI #1235751389 in Cheyenne, Wyoming

Provider Information

NPI Number: 1235751389
Entity Type: Organization
Organization Name: B.a.c.a. Case Managment LLC
Primary Specialty: Case Management
Enumeration Date: May 12, 2020
Last Updated: May 12, 2020

Practice Location

Address: 6500 LONGABAUGH WAY
City: Cheyenne
State: Wyoming
ZIP Code: 82009-9699
Phone: (307) 757-5868

Authorized Official

Name: DESIREE BACA, BSW
Title: OWNER
Phone: (307) 757-5868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Case Management	251B00000X	Primary

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