person
Candice Rae Gronberg
Child Intellectual and/or Developmental Disabilities Respite Care in Lander, Wyoming
NPI 1356632087

Candice Rae Gronberg is a Child Intellectual and/or Developmental Disabilities Respite Care based in Lander, WY and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Candice Rae Gronberg practices in Lander, WY. The NPI Number for Candice Rae Gronberg is 1356632087 and holds a License No. 114858300 (Wyoming).

The current practice location address for Candice Rae Gronberg is 4 Roberts Road, Lander, WY and can be reached out via phone at 307-332-9122 and via fax at 307-332-9122. You can also correspond with Candice Rae Gronberg through the mailing address at PO BOX 1401, LANDER, WY - 82520-1401 (mailing address contact number: 307-332-9122).

Location: 4 Roberts Road, Lander, WY, 82520-1401
person
Provider Profile Details
NPI Number
1356632087
Provider Name
Candice Rae Gronberg
Credential
Provider Entity Type
Individual
Gender
Female
Address
4 Roberts Road, Lander, WY, 82520-1401
Phone Number
307-332-9122
Fax Number
307-332-9122
Provider Enumeration Date
04/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4 Roberts Road
City
State
Zip
82520-1401
Phone Number
307-332-9122
Fax Number
307-332-9122
person
Provider Business Mailing Address Details
Address
Po Box 1401
City
State
Zip
82520-1401
Phone Number
307-332-9122
Fax Number
307-332-9122
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
License No.
114858300 (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.
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