2400 Home, LLC

NPI #1013670264 in Cheyenne, Wyoming

Provider Information

NPI Number: 1013670264
Entity Type: Organization
Organization Name: 2400 Home, LLC
Primary Specialty: In Home Supportive Care
Enumeration Date: Oct 14, 2021
Last Updated: Oct 14, 2021

Practice Location

Address: 2400 DUNN AVE STE B
City: Cheyenne
State: Wyoming
ZIP Code: 82001-3216
Phone: (307) 778-8236

Authorized Official

Name: MR. RANDE CHARLES POUPPIRT
Title: PARTNER
Phone: (307) 778-8236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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