Organization
HOSPICE OF SWEETWATER COUNTY
Active
Other names
Hospice of Sweetwater County, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE M MANDROS RN (EXECUTIVE DIRECTOR)
(307) 362-1990
Entity
Organization
Contact information
Practice address
333 BROADWAY, SUITE 220, ROCK SPRINGS, WY 82901-7272
(307) 362-1990
Mailing address
333 BROADWAY, SUITE 220, ROCK SPRINGS, WY 82901-7272
(307) 362-1990
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
06-088
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1099906 00
—
WY
Enumeration date
04/03/2006
Last updated
11/05/2019
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