Life Skills of Wyoming, L.l.c.

NPI #1730201120 in Green River, Wyoming

Provider Information

NPI Number
1730201120
Entity Type
Organization
Organization Name
Life Skills of Wyoming, L.l.c.
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Apr 4, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
350 HILLCREST WAY
State
Wyoming
ZIP Code
82935-4007
Phone
(307) 875-3535

Authorized Official

Name
MR. GORDON MAX MICKELSON III
Title
OWNER
Phone
(307) 875-3535

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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