Fortify Wyoming LLC

NPI #1891531125 in Evanston, Wyoming

Provider Information

NPI Number
1891531125
Entity Type
Organization
Organization Name
Fortify Wyoming LLC
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jul 5, 2024
Last Updated
Aug 19, 2024

Practice Location

Address
95 ARAPAHOE CIR
State
Wyoming
ZIP Code
82930-4531
Phone
(307) 679-0950

Authorized Official

Name
LYDIA SPENCER
Title
OWNER
Phone
(307) 679-0950

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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