; NPI #1013454438

Contact Information

SHELBY ELLIOTT

1634 JIM BRIDGER AVE
CASPER, WY 82604-3121

Phone: 307-797-4886
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Respite Care, Intellectual and/or Developmental Disabilities	385HR2060X

Indicates primary specialty

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NPI Profile & details for

NPI Number	`1013454438`
Entity	Organization
Organization subpart ¹	Not specified
Enumeration date	01/23/2017
Last updated	01/23/2017 - About 9 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Specialty

Respite Care, Intellectual and/or Developmental Disabilities

NPI Profile & details for

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