Organization
ROCK SPRINGS YOUNG AT HEART
Active
Other names
YAH Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN RUST (DIRECTOR)
(307) 352-6737
Entity
Organization
Contact information
Practice address
2400 REAGAN AVE, ROCK SPRINGS, WY 82901-4531
(307) 352-1283
(307) 352-1285
Mailing address
2400 REAGAN AVE, ROCK SPRINGS, WY 82901-4531
(307) 352-1283
(307) 352-1285
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
1092561000
WY
251E00000X
Home Health Agency
Primary
PENDING
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-201
STATE LICENSE NUMBER
WY
05
—
1092561000
—
WY
Enumeration date
08/31/2006
Last updated
11/07/2018
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