Southeast Wyoming Healthwatch LLC

NPI #1750540043 in Cheyenne, Wyoming

Provider Information

NPI Number: 1750540043
Entity Type: Organization
Organization Name: Southeast Wyoming Healthwatch LLC
Primary Specialty: Case Management
Enumeration Date: Jun 3, 2008
Last Updated: Jun 6, 2008

Practice Location

Address: 6867 SAY KALLY RD
City: Cheyenne
State: Wyoming
ZIP Code: 82009-5734
Phone: (307) 214-1350

Authorized Official

Name: MR. MATTHEW CHAD BERGONDO
Title: OWNER
Phone: (307) 214-1350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Response System Companies	333300000X
Case Management	251B00000X	Primary

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