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Organization
HOMESTEAD CARE SERVICES LLC.
Active
Organization
HOMESTEAD CARE SERVICES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEAH JO DODGE (OWNER/ ADMINISTRATOR)
(970) 620-2390
Entity
Organization
Contact information
Practice address
1240 ELK MOUNTAIN CIR, GREEN RIVER, WY 82935-5512
(970) 620-2390
Mailing address
1240 ELK MOUNTAIN CIR, GREEN RIVER, WY 82935-5512
(970) 620-2390
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
02/26/2026
Last updated
03/24/2026
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