Healthcare Provider Details

I. General information

NPI: 1003724972
Provider Name (Legal Business Name): FOR ZAYDEN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 E 6TH AVE
TORRINGTON WY
82240-8834
US

IV. Provider business mailing address

1526 W C ST
TORRINGTON WY
82240-3214
US

V. Phone/Fax

Practice location:
  • Phone: 307-575-8978
  • Fax:
Mailing address:
  • Phone: 307-575-8978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: SILVIA SERVANTEZ
Title or Position: OWNER
Credential:
Phone: 307-575-8978