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Ellis Timothy Charles
Developmentally Disabled Services Day Training Agency in Sheridan, Wyoming
NPI 1871029314

Ellis Timothy Charles is a Developmentally Disabled Services Day Training Agency based in Sheridan, WY. Ellis Timothy Charles practices in Sheridan, WY. The NPI Number for Ellis Timothy Charles is 1871029314 and holds a License No. (Wyoming).

The current practice location address for Ellis Timothy Charles is 511 Gladstone St, Sheridan, WY and can be reached out via phone at 307-752-9082.

Location: 511 Gladstone St, Sheridan, WY, 82801-4830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871029314
Provider Name
Ellis Timothy Charles
Credential
Provider Entity Type
Individual
Gender
Male
Address
511 Gladstone St, Sheridan, WY, 82801-4830
Phone Number
307-752-9082
Fax Number
Provider Enumeration Date
05/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
511 Gladstone St
City
Sheridan
State
Wyoming
Zip
82801-4830
Phone Number
307-752-9082
Fax Number
person
Provider Business Mailing Address Details
Address
511 Gladstone St
City
Sheridan
State
Wyoming
Zip
82801-4830
Phone Number
307-752-9082
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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