National Provider Identifier Database

REGION V BOARD OF COOPERATIVE EDUCATIONAL SERVICES
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.


Contact Information

REGION V BOARD OF COOPERATIVE EDUCATIONAL SERVICES
3850 NORTH WILDERNESS DRIVE
WILSON, WY83025
Phone: 307-733-8210
Fax: 307-733-8462
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

* Indicates primary specialty

NPI Profile & details for REGION V BOARD OF COOPERATIVE EDUCATIONAL SERVICES

NPI Number 1831442201
Legal business name
LBN
REGION V BOARD OF COOPERATIVE EDUCATIONAL SERVICES
Authorized official MAYLING SUMICAD - (OCCUPATIONAL THERAPIST)
Entity Organization
Organization subpart No
Enumeration date 10/22/2012
Last updated 10/22/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • WY License #: OTR598

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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