Charles Morton Jr.
Individual provider Active NPI Developmentally Disabled Services Day Training Agency · Rawlins, WY
NPI 1295110252 · NPPES record last updated Jul 20, 2015
Key facts
- NPI
- 1295110252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Practice address
- 2014 E Cedar St Unit B
Rawlins, WY 82301-6006 - Phone
- (307) 710-5828
- NPI assigned
- Jul 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
2014 E Cedar St Unit B
Rawlins, WY 82301-6006
Mailing address
PO Box 371
Sinclair, WY 82334-0371
Phone (307) 710-5828
Other providers in Rawlins, WY
- Mobility Center of Wyoming LLC
- Mobility Center of Wyoming LLC
- Lisa D Molina
- Jennifer Moore
- Robin Mortimore
- Tammy Morton
- Mountain Trail Medical
- Mountains Therapy and Wellness LLC
- Kara Mruzek
- Maryanna L. Mulholland
All providers in Rawlins, WY · Developmentally Disabled Services Day Training Agency in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.