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Organization

FRONTIER WYOMING LLC

Active
Other names
Frontier Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
MARTHA M BOGUCKI (CFO)
(203) 693-3840
Entity
Organization

Contact information

Practice address
4024 LARAMIE ST, CHEYENNE, WY 82001-2064
(307) 634-5970
(307) 634-5384
Mailing address
53 RIVER ST, YANKEE PROFESSIONAL BUILDING, MILFORD, CT 06460-3346
(203) 693-3840
(203) 693-3841

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0713064
WY
251E00000X
Home Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043453566
WY
Enumeration date
04/14/2009
Last updated
04/25/2014
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