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Organization
ROCK SPRINGS YOUNG AT HEART
Active
Organization
ROCK SPRINGS YOUNG AT HEART
Active
Other names
YAH Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN RUST (DIRECTOR)
(307) 352-6737
Entity
Organization
Contact information
Practice address
2400 REAGAN AVE, ROCK SPRINGS, WY 82901-4531
(307) 352-1283
(307) 352-1285
Mailing address
2400 REAGAN AVE, ROCK SPRINGS, WY 82901-4531
(307) 352-1283
(307) 352-1285
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
1092561000
WY
251E00000X
Home Health Agency
Primary
PENDING
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-201
STATE LICENSE NUMBER
WY
05
—
1092561000
—
WY
Enumeration date
08/31/2006
Last updated
11/07/2018
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