Organization
SOUTHEAST WYOMING HEALTHWATCH LLC
Active
Organization
SOUTHEAST WYOMING HEALTHWATCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW CHAD BERGONDO (OWNER)
(307) 214-1350
Entity
Organization
Contact information
Practice address
6867 SAY KALLY RD, CHEYENNE, WY 82009-5734
(307) 214-1350
(307) 635-8486
Mailing address
6867 SAY KALLY RD, CHEYENNE, WY 82009-5734
(307) 214-1359
(307) 635-8486
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
333300000X
Emergency Response System Companies
—
—
Other
Enumeration date
06/03/2008
Last updated
06/06/2008
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