Provider Demographics
NPI:1336362805
Name:CIRCLE C RESOURCES
Entity Type:Organization
Organization Name:CIRCLE C RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAINBOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-234-3131
Mailing Address - Street 1:PO BOX 1733
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82602-1733
Mailing Address - Country:US
Mailing Address - Phone:307-234-3131
Mailing Address - Fax:307-234-3171
Practice Address - Street 1:520 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2313
Practice Address - Country:US
Practice Address - Phone:307-234-3131
Practice Address - Fax:307-234-3171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services