| NPI | 1639191562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY G GRACE Manager 307-532-4069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: WY 07-162) |
| Additional Taxonomies | 251E00000X Home Health (Licence: WY 07-162) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2009-10-01 |