Healthcare Provider Details

I. General information

NPI: 1174679195
Provider Name (Legal Business Name): NORMATIVE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 05/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 LANE LANE
SHERIDAN WY
82801-8630
US

IV. Provider business mailing address

5 LANE LANE
SHERIDAN WY
82801-8630
US

V. Phone/Fax

Practice location:
  • Phone: 307-674-6878
  • Fax: 307-674-7781
Mailing address:
  • Phone: 307-674-6878
  • Fax: 307-674-7781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number6190
License Number StateWY

VIII. Authorized Official

Name: DEANNE L. HINES
Title or Position: ACCT SUPERVISOR
Credential:
Phone: 307-674-6878