Lincoln Self Reliance, Inc.
Organization Active NPI Developmentally Disabled Services Day Training Agency · Afton, WY
NPI 1528112620 · NPPES record last updated Jun 23, 2020
Key facts
- NPI
- 1528112620
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- 116099100 (WY)
- Legal business name
- LINCOLN SELF RELIANCE, INC.
- Practice address
- 1038 South Washington
Afton, WY 83110-1449 - Phone
- (307) 885-1577
- Fax
- (307) 885-2577
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Darrel G Skinner, MSW
- Title
- Executive Director
- Phone
- (307) 885-1577
Corporate family (same tax ID) 1
Practitioners 2
-
Darrel Skinner, MSW
National Provider Directory
- Tax ID family
- Lincoln Self Reliance Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 116099100 | WY | Yes |
Addresses
Primary practice location
1038 South Washington
Afton, WY 83110-1449
Mailing address
PO Box 1449
1038 South Washington
Afton, WY 83110-1449
Phone (307) 885-1577
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116099100 | Medicaid | WY |
Other providers in Afton, WY
- Mark Wayne Larsen
- Jordan K Lee
- Reed Lesuma
- Taylor Marie Lewis
- Lincoln Self Reliance, Inc.
- Samuel Wray Linford
- James Garry Livingston
- Jeffrey James Livingston
- Rhet Mitchell Long
- Chloe Lowney
All providers in Afton, 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 Jun 23, 2020. 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.