Healthcare Provider Details

I. General information

NPI: 1447168422
Provider Name (Legal Business Name): OWL UNLIMITED INC
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

151 S 6TH ST
WORLAND WY
82401-3339
US

IV. Provider business mailing address

151 S 6TH ST
WORLAND WY
82401-3339
US

V. Phone/Fax

Practice location:
  • Phone: 307-347-3535
  • Fax: 307-347-3508
Mailing address:
  • Phone: 307-347-3535
  • Fax: 307-347-3508

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: CAROLYN KING-MARCUS
Title or Position: OWNER
Credential:
Phone: 307-347-3535