Organization
BRHALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER BRIMHALL (OWNER)
(307) 313-0196
Entity
Organization
Contact information
Practice address
1801 W SUMMIT ST, EVANSTON, WY 82930-3142
(307) 679-6937
Mailing address
1801 W SUMMIT ST, EVANSTON, WY 82930-3142
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/12/2025
Last updated
08/05/2025
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