Whalio Doctors

NPI 1245305804

Bridges Habilitation Services INC.

Organisation Non-Pharmacy Dispensing Site Evanston, WY

Practice location

Address
100 Bear River Dr, Evanston, WY 82930-2804
Phone
(307) 789-0664
Fax
(307) 789-1902
Mailing address
PO Box 1642, Evanston, WY 82931-1642

Authorised official

Name
David M. Canen
Title
Ceo
Phone
(307) 789-0664

Registered specialties (10)

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X
Registered Dietitian
Dietary & Nutritional Service Providers Taxonomy 133V00000X
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X
Case Management Agency
Agencies Taxonomy 251B00000X
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X
Nursing Care Agency
Agencies Taxonomy 251J00000X
Developmental Disabilities Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QD1600X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X
Respite Care
Respite Care Facility Taxonomy 385H00000X
Child Intellectual and/or Developmental Disabilities Respite Care
Respite Care Facility Taxonomy 385HR2060X

Registry record

NPI
1245305804
Entity type
Organization
NPI issued
21 Nov 2006
Record last updated
11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.