Healthcare Provider Details

I. General information

NPI: 1679493563
Provider Name (Legal Business Name): LIFE CONNECTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 EDWARDS ST
GILLETTE WY
82718-6403
US

IV. Provider business mailing address

909 EDWARDS ST
GILLETTE WY
82718-6403
US

V. Phone/Fax

Practice location:
  • Phone: 307-670-9111
  • Fax: 307-670-9113
Mailing address:
  • Phone: 307-670-9111
  • Fax: 307-670-9113

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: JODIA A COX
Title or Position: MANAGING MEMBER
Credential:
Phone: 307-680-7817