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Organization

SUMMIT HOME HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHY KLEIN RN (ADMINISTRATOR/OWNER)
(307) 760-4338
Entity
Organization

Contact information

Practice address
204 MCCOLLUM DR STE 106, LARAMIE, WY 82070-5151
(307) 721-2827
(307) 742-3611
Mailing address
204 MCCOLLUM DR STE 106, LARAMIE, WY 82070-5151
(307) 721-2827
(307) 742-3611

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251J00000X
Nursing Care Agency
WY
253Z00000X
In Home Supportive Care Agency
Primary
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119002400
WY
Enumeration date
11/05/2008
Last updated
11/05/2008
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