Organization
FRONTIER WYOMING, L.L.C.
Active
Other names
Frontier Home Health and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA M BOGUCKI (CFO)
(203) 693-3840
Entity
Organization
Contact information
Practice address
230 N 1ST ST, LANDER, WY 82520-2838
(307) 332-2922
(307) 332-0106
Mailing address
53 RIVER ST, YANKEE PROFESSIONAL BUILDING, MILFORD, CT 06460-3346
(203) 693-3840
(203) 693-3841
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0713110
WY
251G00000X
Community Based Hospice Care Agency
08-206
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841484243
—
WY
Enumeration date
08/29/2007
Last updated
04/25/2014
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