Organization
PREMIUM HEALTH AT HOME RAWLINS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN ANN SMITH (VICE PRESIDENT)
(307) 742-8710
Entity
Organization
Contact information
Practice address
405 W CEDAR ST, RAWLINS, WY 82301-5636
(307) 328-5999
(307) 324-9358
Mailing address
405 W CEDAR ST STE B, RAWLINS, WY 82301-5636
(307) 328-5999
(307) 324-9358
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
WY
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/24/2011
Last updated
05/08/2023
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