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Organization

SENIOR CITIZENS COUNCIL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CARMEN RIDEOUT (EXECUTIVE DIRECTOR)
(307) 672-2240
Entity
Organization

Contact information

Practice address
211 SMITH ST, SHERIDAN, WY 82801-3818
(307) 672-2240
(307) 674-9866
Mailing address
211 SMITH ST, SHERIDAN, WY 82801-3818
(307) 672-2240
(307) 674-9866

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
10218
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
109141700
WY
Enumeration date
06/01/2012
Last updated
06/01/2012
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