Organization
INTERIM HEALTHCARE OF WYOMING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BUSSHAUS (CFO)
(412) 621-0902
Entity
Organization
Contact information
Practice address
1010 E. 1ST STREET SUITE A, CASPER, WY 82601
(307) 266-1152
(307) 577-8041
Mailing address
1010 E. 1ST STREET SUITE A, CASPER, WY 82601
(307) 266-1152
(307) 577-8041
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
0713055
WY
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
06-051
WY
251E00000X
Home Health Agency
Primary
0713055
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107148300
—
WY
05
—
107148316
—
WY
Enumeration date
01/26/2006
Last updated
04/07/2015
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