Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI # | 1295725976 |
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| LBN Legal business name | CENTRAL WYOMING HOSPICE PROGRAM | ||||||||
| Authorized official | KILTY BROWN - (EXECUTIVE DIRECTOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/25/2005 | ||||||||
| Last updated | 01/28/2020 - About 6 years ago | ||||||||
| Identifiers |
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