Healthcare Provider Details
I. General information
NPI: 1316856446
Provider Name (Legal Business Name): LIVE AND LEARN CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
830 E MONROE ST
POWELL WY
82435-8576
US
IV. Provider business mailing address
PO BOX 1152
POWELL WY
82435-1152
US
V. Phone/Fax
- Phone: 307-272-4300
- Fax:
- Phone: 307-272-4300
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JESSICA
RICHARD
LOEPER
Title or Position: PRESIDENT
Credential:
Phone: 307-272-4300