Organization
FRONTIER WYOMING, LLC
Active
Organization
FRONTIER WYOMING, LLC
Active
Other names
Frontier Home Health and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA M BOGUCKI (CFO)
(203) 693-3840
Entity
Organization
Contact information
Practice address
514 E PERSHING AVE, SUITE C, RIVERTON, WY 82501-3618
(307) 856-4127
(307) 856-4129
Mailing address
53 RIVER ST, MILFORD, CT 06460-3346
(203) 693-3840
(203) 693-3841
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
10306
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669796884
—
WY
Enumeration date
03/17/2010
Last updated
09/12/2014
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