Healthcare Provider Details

I. General information

NPI: 1669386793
Provider Name (Legal Business Name): CROOK COUNTY SENIOR SERVICES, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 E MAIN ST
SUNDANCE WY
82729-5152
US

IV. Provider business mailing address

PO BOX 648
SUNDANCE WY
82729-0648
US

V. Phone/Fax

Practice location:
  • Phone: 307-283-1711
  • Fax:
Mailing address:
  • Phone: 307-283-1711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNULL

VIII. Authorized Official

Name: TOBEY MORGAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 307-283-1711