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Organization

SUMMIT HOME HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHERINE ANNE KLEIN RN (PRESIDENT)
(307) 721-2827
Entity
Organization

Contact information

Practice address
204 MCCOLLUM DR, SUITE 106, LARAMIE, WY 82070-5103
(307) 721-2827
(307) 742-3611
Mailing address
204 MCCOLLUM DR, SUITE 106, LARAMIE, WY 82070-5103
(307) 721-2827
(307) 742-3611

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
10236
WY
251E00000X
Home Health Agency
Primary
07 096
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119002400
WY
05
119002401
WY
05
119002402
WY
Enumeration date
01/19/2007
Last updated
11/09/2010
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