Provider Demographics
NPI:1174679195
Name:NORMATIVE SERVICES, INC.
Entity Type:Organization
Organization Name:NORMATIVE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCT SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:DEANNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-674-6878
Mailing Address - Street 1:5 LANE LANE
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-8630
Mailing Address - Country:US
Mailing Address - Phone:307-674-6878
Mailing Address - Fax:307-674-7781
Practice Address - Street 1:5 LANE LANE
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-8630
Practice Address - Country:US
Practice Address - Phone:307-674-6878
Practice Address - Fax:307-674-7781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY6190322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY118971902Medicaid
SD010501921Medicaid
MT0320502Medicaid