| Elevate Wyoming Llc | |
|
3 Janich Ln Sheridan WY 82801-8600 | |
| (307) 763-6987 | |
| Not Available |
| Full Name | Elevate Wyoming Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3 Janich Ln, Sheridan, Wyoming |
| Authorized Official Name and Position | Taylor B Edgcomb (CO-OWNER, FAMILY CARE COORDINATOR) |
| Authorized Official Contact | 3076202008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Wyoming Llc 3 Janich Ln Sheridan WY 82801-8600 Ph: (307) 683-6987 | Elevate Wyoming Llc 3 Janich Ln Sheridan WY 82801-8600 Ph: (307) 763-6987 |
| NPI Number | 1922478262 |
|---|---|
| Provider Enumeration Date | 09/29/2015 |
| Last Update Date | 09/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922478262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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