Organization
2400 HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDE CHARLES POUPPIRT (PARTNER)
(307) 778-8236
Entity
Organization
Contact information
Practice address
2400 DUNN AVE STE B, CHEYENNE, WY 82001-3216
(307) 778-8236
(307) 632-4338
Mailing address
2400 DUNN AVE STE B, CHEYENNE, WY 82001-3216
(307) 778-8236
(307) 632-4338
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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