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1013670264
2400 HOME, LLC
CHEYENNE, WY
NPI
1013670264
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Entity Type
Organization
Authorized Contact
RANDE CHARLES POUPPIRT
Partner
307-778-8236
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2021-10-14
Last Update Date
2021-10-14
Business Address
2400 HOME, LLC
2400 DUNN AVE STE B
CHEYENNE, WY 82001-3216
Phone number: 307-778-8236
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Mailing Address
2400 HOME, LLC
2400 DUNN AVE STE B
CHEYENNE, WY 82001-3216
Phone number: 307-778-8236
Copy
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