Organization
7 MOONS WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TENEIL RACHELLE SULLIVAN RN (DIRECTOR)
(307) 351-1359
Entity
Organization
Contact information
Practice address
1432 E 2ND ST UNIT A, CASPER, WY 82601-2961
(307) 351-1359
Mailing address
PO BOX 672, MILLS, WY 82644-0672
(307) 351-1359
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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