Lincoln Self Reliance, Inc.

Organization Active NPI Case Management Agency · Afton, WY

NPI 1295068674 · NPPES record last updated Sep 16, 2009

Key facts

NPI
1295068674
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
Legal business name
LINCOLN SELF RELIANCE, INC.
Practice address
1038 South Washington
Afton, WY 83110
Phone
(307) 885-1577
Fax
(307) 885-2577
NPI assigned
Sep 16, 2009
Organization subpart
No

Authorized official

Name
Darrel Skinner, MSW
Title
Director
Phone
(307) 885-1577

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Lincoln Self Reliance Inc (2 organizations share this tax ID)

Locations

1038 S Washington St
Afton, WY 83110
Phone (307) 877-1321

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Yes

Addresses

Primary practice location

1038 South Washington
Afton, WY 83110

Mailing address

1038 South Washington
Afton, WY 83110

Other providers in Afton, WY

All providers in Afton, WY · Case Management Agency in Wyoming

Sources for this page

Verify at the official NPI Registry.