Organization
CENTRAL WYOMING HOSPICE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KILTY BROWN (EXECUTIVE DIRECTOR)
(307) 577-4832
Entity
Organization
Contact information
Practice address
319 S WILSON ST, CASPER, WY 82601-2943
(307) 577-4832
(307) 577-4841
Mailing address
319 S WILSON ST, CASPER, WY 82601-2943
(307) 577-4832
(307) 577-4841
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
06 160
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106565301
—
WY
Enumeration date
10/25/2005
Last updated
01/28/2020
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