Organization
IHC AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IRION M FOUNTAIN (OPERATIONS MANAGER)
(307) 222-8653
Entity
Organization
Contact information
Practice address
30 N GOULD ST STE 31596, SHERIDAN, WY 82801-6317
(307) 222-8653
Mailing address
30 N GOULD ST STE 31596, SHERIDAN, WY 82801-6317
(307) 222-8653
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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