-- KRISTY H FADDIS --
Individual Provider (NPI-1)
Active
Respite Care
Provider Information
- NPI Number
1225366925- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 164 COUNTRY WAY, EVANSTON, WY, 829309517
- Phone
- (307) 789-2875
- Fax
- (307) 789-2876
Specialties & Taxonomies
Respite Care
Primary License: WY #251C00000X
Respite Care, Respite Care, Mental Illness, Child
License: WY #251C00000X
Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child
License: WY #251C00000X
Respite Care, Respite Care, Physical Disabilities, Child
License: WY #251C00000X