Organization
ALLIANCE HOME HEALTH AND HOSPICE OF WYOMING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN LARSEN (CEO)
(435) 753-0707
Entity
Organization
Contact information
Practice address
878 N WASHINGTON ST, HWY 89, AFTON, WY 83110-9770
(307) 866-0330
(307) 886-0333
Mailing address
965 S 100 W, STE. 204, LOGAN, UT 84321-6062
(435) 753-0707
(435) 755-8505
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2006-513520
WY
Other
Enumeration date
06/04/2006
Last updated
08/22/2020
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