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Kristy H Faddis
Child Physical Disabilities Respite Care in Evanston, Wyoming
NPI 1225366925

Kristy H Faddis is a Child Physical Disabilities Respite Care based in Evanston, WY and is specialized in Respite Care, Physical Disabilities, Child. Kristy H Faddis practices in Evanston, WY. The NPI Number for Kristy H Faddis is 1225366925 and holds a License No. 251C00000X (Wyoming).

The current practice location address for Kristy H Faddis is 164 Country Way, Evanston, WY and can be reached out via phone at 307-789-2875 and via fax at 307-789-2876.

Location: 164 Country Way, Evanston, WY, 82930-9517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225366925
Provider Name
Kristy H Faddis
Credential
Provider Entity Type
Individual
Gender
Female
Address
164 Country Way, Evanston, WY, 82930-9517
Phone Number
307-789-2875
Fax Number
307-789-2876
Provider Enumeration Date
11/18/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
164 Country Way
City
Evanston
State
Wyoming
Zip
82930-9517
Phone Number
307-789-2875
Fax Number
307-789-2876
person
Provider Business Mailing Address Details
Address
164 Country Way
City
Evanston
State
Wyoming
Zip
82930-9517
Phone Number
307-789-2875
Fax Number
307-789-2876
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
251C00000X (Wyoming)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
251C00000X (Wyoming)
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
251C00000X (Wyoming)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
person
Provider's Taxonomy Details 4
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Physical Disabilities, Child
Taxonomy
385HR2065X
License No.
251C00000X (Wyoming)
Definition
A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
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