; NPI #1225366925

Contact Information

KRISTY H FADDIS

164 COUNTRY WAY
EVANSTON, WY 82930-9517

Phone: 307-789-2875
Fax: 307-789-2876
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Respite Care	385H00000X
Respite Care, Intellectual and/or Developmental Disabilities	385HR2060X
Respite Care, Mental Illness, Child	385HR2055X
Respite Care, Physical Disabilities, Child	385HR2065X

Indicates primary specialty

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NPI Profile & details for

NPI Number 1225366925

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 11/18/2009

Last updated 11/18/2009 - About 17 years ago

Identifiers

License #

251C00000X

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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Contact Information

Specialty

Respite Care

Respite Care, Intellectual and/or Developmental Disabilities

Respite Care, Mental Illness, Child

Respite Care, Physical Disabilities, Child

NPI Profile & details for

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