Provider Demographics
NPI:1598129462
Name:CINDY MANKIN CASE MANAGER LLC
Entity Type:Organization
Organization Name:CINDY MANKIN CASE MANAGER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASEMANGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MANKIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:307-622-0710
Mailing Address - Street 1:1660 HIGHWAY 50
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82718-9437
Mailing Address - Country:US
Mailing Address - Phone:307-622-0710
Mailing Address - Fax:
Practice Address - Street 1:1660 HIGHWAY 50
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82718-9437
Practice Address - Country:US
Practice Address - Phone:307-622-0710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management