Provider Demographics
NPI:1407186315
Name:ANNYAH HOME CASE MANAGEMENT PROCESS
Entity Type:Organization
Organization Name:ANNYAH HOME CASE MANAGEMENT PROCESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:SNEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-682-9538
Mailing Address - Street 1:PO BOX 3917
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82717-3917
Mailing Address - Country:US
Mailing Address - Phone:307-682-9538
Mailing Address - Fax:307-682-9538
Practice Address - Street 1:1911 CHESTNUT CIR
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82718-5308
Practice Address - Country:US
Practice Address - Phone:307-682-9538
Practice Address - Fax:307-682-9538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services