CORAM HEALTHCARE OF WYOMING, LLC

CHEYENNE, WY
NPI1720035249
Entity TypeOrganization
Authorized ContactVITO PONZIO, JR
Sr VP
303-672-8631
Organization Subpart ?Yes
Primary Taxonomy261QI0500X Clinic/Center, Infusion Therapy
(Licence: WY  n/a)
Enumeration Date2006-05-29
Last Update Date2007-10-08
Business Address
CORAM HEALTHCARE OF WYOMING, LLC
1507 STILLWATER AVE SUITE C
CHEYENNE, WY 82009-7358
Phone number: 307-635-3785
Mailing Address
CORAM HEALTHCARE OF WYOMING, LLC
1675 BROADWAY SUITE 900
DENVER, CO 80202-4675
Phone number: 303-672-8631