Organization
GRACE HOUSE MINISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS VERONICA L SULZMAN (EXECUTIVE DIRECTOR)
(307) 315-4280
Entity
Organization
Contact information
Practice address
1547 CUSTER AVE, CASPER, WY 82604-3137
(307) 315-4280
Mailing address
1547 CUSTER AVE, CASPER, WY 82604-3137
(307) 315-4280
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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