Organization
PURPLE SAGE TELE-HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GWEN LOUISE GALE RN (OWNER/OPERATOR)
(307) 321-7510
Entity
Organization
Contact information
Practice address
606 23RD ST, RAWLINS, WY 82301-5127
(307) 321-7510
Mailing address
606 23RD ST, PO BOX 724, RAWLINS, WY 82301-5127
(307) 321-7510
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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