person
Mr. Mark Alan Courtney, PROVIDER
Child Intellectual and/or Developmental Disabilities Respite Care in Cody, Wyoming
NPI 1689866790

Mark Alan Courtney is a Child Intellectual and/or Developmental Disabilities Respite Care based in Cody, WY and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Mark Alan Courtney practices in Cody, WY and has the professional credentials of PROVIDER. The NPI Number for Mark Alan Courtney is 1689866790 and holds a License No. (Wyoming).

The current practice location address for Mark Alan Courtney is 2508 Central Ave, Cody, WY and can be reached out via phone at 307-527-4616. You can also correspond with Mark Alan Courtney through the mailing address at PO BOX 2081, CODY, WY - 82414-2081 (mailing address contact number: 307-527-4616).

Location: 2508 Central Ave, Cody, WY, 82414-2081
person
Provider Profile Details
NPI Number
1689866790
Provider Name
Mark Alan Courtney
Credential
PROVIDER
Provider Entity Type
Individual
Gender
Male
Address
2508 Central Ave, Cody, WY, 82414-2081
Phone Number
307-527-4616
Fax Number
Provider Enumeration Date
08/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2508 Central Ave
City
State
Zip
82414-9797
Phone Number
307-527-4616
Fax Number
person
Provider Business Mailing Address Details
Address
2508 Central Ave
City
State
Zip
82414-9797
Phone Number
307-527-4616
Fax Number
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.
(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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