| Organization Name: | FORGET-ME-NOT ADULT DAY CARE, INC. |
| NPI Number: | 1710046354 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARGARET L SCHOLTEN (OWNER) |
| Mailing Address: | 503 11th St Wheatland |
| State: | WY US |
| Postal Code: | 822012803 |
| Phone Number: | 3073223372 |
| Fax Number: | 3073223372 |
| NPI Enumeration Date: | 12/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 07-018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |