=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669386793
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CROOK COUNTY SENIOR SERVICES, INCORPORATED
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/28/2026
-----------------------------------------------------
Last Update Date | 09/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 321 E MAIN ST
-----------------------------------------------------
City | SUNDANCE
-----------------------------------------------------
State | WY
-----------------------------------------------------
Zip | 82729-5152
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 307-283-1711
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 648
-----------------------------------------------------
City | SUNDANCE
-----------------------------------------------------
State | WY
-----------------------------------------------------
Zip | 82729-0648
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 307-283-1711
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | TOBEY MORGAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 307-283-1711
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332U00000X
-----------------------------------------------------
Taxonomy Name | Home Delivered Meals
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------