Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI # | 1083807036 |
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| LBN Legal business name | FRONTIER WYOMING, L.L.C. | ||||||||
| Authorized official | MARTHA BOGUCKI - (CFO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 08/23/2007 | ||||||||
| Last updated | 02/01/2017 - About 9 years ago | ||||||||
| Identifiers |
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