# 2400 HOME, LLC DBA SYNERGY HOME CARE - CHEYENNE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922751940
- **Authorized official:** MRS. RITA A POUPPIRT (PARTNER)
- **Authorized official phone:** (307) 778-8236

## Contact information

- **Practice address:** 2400 DUNN AVE STE A, CHEYENNE, WY 82001-3216
- **Practice address phone:** (307) 778-8236
- **Practice address fax:** (307) 632-4338
- **Mailing address:** 2400 DUNN AVE STE B, CHEYENNE, WY 82001-3216
- **Mailing address phone:** (307) 778-8236
- **Mailing address fax:** (307) 632-4338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/31/2022
- **Last updated:** 01/31/2022