Provider Demographics
NPI:1689793044
Name:BIG HORN ENTERPRISES, INC
Entity Type:Organization
Organization Name:BIG HORN ENTERPRISES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-864-2153
Mailing Address - Street 1:641 WARREN ST
Mailing Address - Street 2:
Mailing Address - City:THERMOPOLIS
Mailing Address - State:WY
Mailing Address - Zip Code:82443-2619
Mailing Address - Country:US
Mailing Address - Phone:307-864-2153
Mailing Address - Fax:307-864-2408
Practice Address - Street 1:641 WARREN ST
Practice Address - Street 2:
Practice Address - City:THERMOPOLIS
Practice Address - State:WY
Practice Address - Zip Code:82443-2619
Practice Address - Country:US
Practice Address - Phone:307-864-2153
Practice Address - Fax:307-864-2408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services