Organization
BCBU, INC.
Active
Other names
Rocky Mountain Home Care - Green River
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEE R BANGERTER (CEO)
(801) 397-4000
Entity
Organization
Contact information
Practice address
175 RIVER VIEW DR STE A, GREEN RIVER, WY 82935-4811
(307) 875-7976
(307) 875-8990
Mailing address
576 W. 900 S., SUITE 260, WOODS CROSS, UT 84010-8127
(801) 397-4600
(801) 397-4196
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
05164
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112546000
—
WY
Enumeration date
06/30/2005
Last updated
06/10/2019
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