Organization
HOSPICE OF LARAMIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI LONGHURST PHD (EXECUTIVE DIRECTOR)
(307) 745-9254
Entity
Organization
Contact information
Practice address
1754 CENTENNIAL DR, LARAMIE, WY 82070-8417
(307) 745-9254
(307) 742-5967
Mailing address
1754 CENTENNIAL DR, LARAMIE, WY 82070-8417
(307) 745-9254
(307) 742-5967
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
Primary
0713111
WY
251G00000X
Community Based Hospice Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111731900
—
WY
Enumeration date
01/12/2006
Last updated
09/17/2019
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