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Kyle William Mcdermott, PROVIDER,OWNER
Developmentally Disabled Services Day Training Agency in Evanston, Wyoming
NPI 1295240067

Kyle William Mcdermott is a Developmentally Disabled Services Day Training Agency based in Evanston, WY. Kyle William Mcdermott practices in Evanston, WY and has the professional credentials of PROVIDER,OWNER. The NPI Number for Kyle William Mcdermott is 1295240067 and holds a License No. (Wyoming).

The current practice location address for Kyle William Mcdermott is 100 Valley View Ave, Evanston, WY and can be reached out via phone at 307-677-5119.

Location: 100 Valley View Ave, Evanston, WY, 82930-2105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295240067
Provider Name
Kyle William Mcdermott
Credential
PROVIDER,OWNER
Provider Entity Type
Individual
Gender
Male
Address
100 Valley View Ave, Evanston, WY, 82930-2105
Phone Number
307-677-5119
Fax Number
Provider Enumeration Date
12/02/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Valley View Ave
City
Evanston
State
Wyoming
Zip
82930-2105
Phone Number
307-677-5119
Fax Number
person
Provider Business Mailing Address Details
Address
100 Valley View Ave
City
Evanston
State
Wyoming
Zip
82930-2105
Phone Number
307-677-5119
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
(Wyoming)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
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