Healthcare Provider Details

I. General information

NPI: 1104739424
Provider Name (Legal Business Name): RESOURCES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 W ODELL AVE
CASPER WY
82604-4706
US

IV. Provider business mailing address

1820 W ODELL AVE
CASPER WY
82604-4706
US

V. Phone/Fax

Practice location:
  • Phone: 307-267-8303
  • Fax:
Mailing address:
  • Phone: 307-267-8303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LAURA LYNN FAST
Title or Position: OWNER
Credential:
Phone: 307-267-8303