| NPI | 1922077858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODYE WILMES Nursing Manager 307-352-6830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: WY 06-071) |
| Additional Taxonomies | 251B00000X Case Management (Licence: WY 06-071) |
| 251K00000X Public Health or Welfare (Licence: WY 06-071) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: WY 07-008) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-08-22 |