Organization
UINTA SENIOR CITIZENS
Active
Other names
Uinta Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH BLAKEMAN (ADMINISTRATOR)
(307) 789-7712
Entity
Organization
Contact information
Practice address
1229 UINTA ST, EVANSTON, WY 82930-3236
(307) 789-7712
Mailing address
1229 UINTA ST, P.O. BOX 728, EVANSTON, WY 82930-3236
(307) 789-7712
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
07-112
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109190501
—
WY
Enumeration date
11/07/2006
Last updated
02/04/2013
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