VICTORIA LEOLA GREEN
NPI 1366586802
Respite Care in Sheridan, WY
Active since February 17, 2007
About Victoria Leola Green NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VICTORIA LEOLA GREEN (NPI 1366586802) is an individual respite care provider in Sheridan, Wyoming and active in the NPI registry since February 2007.
NPPES Registry Identity
NPI1366586802
Entity TypeIndividualFemale
Primary Taxonomy385H00000X
Provider Legal NameVICTORIA LEOLA GREEN
Location Address655 E BURKITT STSheridan, WY 82801-4401
Mailing Address655 E Burkitt StSheridan, WY 82801-4401 · (307) 674-6343
Phone(307) 674-6343
Sole ProprietorYes
Enumeration DateFebruary 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366586802 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRespite CareRespite Care Facility
Taxonomy Code385H00000X
655 E BURKITT ST, Sheridan, WY 82801
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366586802, enumerated as an "individual" on February 17, 2007.
The provider is located at 655 E BURKITT ST SHERIDAN, WY 82801 and the phone number is (307) 674-6343.
Respite Care with taxonomy code 385H00000X.