Individual provider · Type 1 NPI

Jacy Kruckenberg

Developmentally Disabled Services Day Training Agency · Cheyenne, WY

NPI number 1437062379 Active

Practice location

1900 E 22nd St
Cheyenne, WY 82001-4143

Specialties and licenses

TaxonomyCodeLicense
Developmentally Disabled Services Day Training Agency Primary 251C00000XNone listed

Developmentally Disabled Services Day Training Agency: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational function…

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About NPI 1437062379

Jacy Kruckenberg's National Provider Identifier is 1437062379, issued on Sep 23, 2026. The primary taxonomy on file is Developmentally Disabled Services Day Training Agency (251C00000X), and the practice location is in Cheyenne, WY. The record was last updated on Sep 23, 2026.