Organization
IATRACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOBY GRANGER R.N. (DIRECTOR)
(307) 683-6267
Entity
Organization
Contact information
Practice address
830 S THURMOND ST, SHERIDAN, WY 82801-5059
(307) 683-6267
Mailing address
PO BOX 6384, SHERIDAN, WY 82801-1784
(307) 683-6267
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
29369
WY
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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