Organization
PREMIUM HEALTH AT HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN ANN SMITH (VICE PRESIDENT)
(307) 742-8710
Entity
Organization
Contact information
Practice address
1262 N 22ND ST UNIT B, LARAMIE, WY 82072-5307
(307) 745-8710
(307) 459-1349
Mailing address
1262 N 22ND ST UNIT B, LARAMIE, WY 82072-5307
(307) 745-8710
(307) 459-1349
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
WY
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/18/2009
Last updated
03/31/2023
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