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Mary Jean Medina
Developmentally Disabled Services Day Training Agency in Lingle, Wyoming
NPI 1346389822

Mary Jean Medina is a Developmentally Disabled Services Day Training Agency based in Lingle, WY. Mary Jean Medina practices in Lingle, WY. The NPI Number for Mary Jean Medina is 1346389822 and holds a License No. (Wyoming).

The current practice location address for Mary Jean Medina is 221 Main St., Lingle, WY and can be reached out via phone at 307-837-2155 and via fax at 978-285-0404.

Location: 221 Main St., Lingle, WY, 82223-0363
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346389822
Provider Name
Mary Jean Medina
Credential
Provider Entity Type
Organization
Address
221 Main St., Lingle, WY, 82223-0363
Phone Number
307-837-2155
Fax Number
978-285-0404
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
118921200 05 WY
institution
Provider Business Practice Location Address Details
Address
221 Main St.
City
Lingle
State
Wyoming
Zip
82223-0363
Phone Number
307-837-2155
Fax Number
978-285-0404
person
Provider Business Mailing Address Details
Address
221 Main St.
City
Lingle
State
Wyoming
Zip
82223-0363
Phone Number
307-837-2155
Fax Number
978-285-0404
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
()
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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