IndividualActive
Ellis Charles
NPI 1871029314 · Developmentally Disabled Services Day Training Agency · Sheridan, WY
Provider details
- NPI number
- 1871029314
- Entity type
- Individual
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
511 Gladstone St
511 Gladstone Street
Sheridan, WY 82801-4830
Phone: (307) 752-9082
Approximate (ZIP-level) locationGet directions
Mailing address
511 Gladstone St
Sheridan, WY 82801-4830
Registry dates
- Enumerated
- 2017-05-03
- Last updated
- 2017-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.