Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI Number | 1740744473 |
| LBN Legal business name | STILLWATER HOSPICE OF NORTHERN WYOMING LLC |
| Authorized official | CHRISTOPHER GRAHAM - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/28/2019 |
| Last updated | 03/05/2019 - About 7 years ago |
| Identifiers | n/a |
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