Provider Demographics
NPI:1881748762
Name:CASE MANAGEMENT SERVICES INCORPORATED
Entity type:Organization
Organization Name:CASE MANAGEMENT SERVICES INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:GILBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:QMRP
Authorized Official - Phone:307-436-8237
Mailing Address - Street 1:PO BOX 252
Mailing Address - Street 2:
Mailing Address - City:GLENROCK
Mailing Address - State:WY
Mailing Address - Zip Code:82637-0252
Mailing Address - Country:US
Mailing Address - Phone:307-436-8237
Mailing Address - Fax:307-436-8237
Practice Address - Street 1:851 LOOKOUT DRIVE
Practice Address - Street 2:
Practice Address - City:GLENROCK
Practice Address - State:WY
Practice Address - Zip Code:82637-0252
Practice Address - Country:US
Practice Address - Phone:307-436-8237
Practice Address - Fax:307-436-8237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services