Patriarch Health Care, LLC

NPI #1912252362 in Cheyenne, Wyoming

Provider Information

NPI Number: 1912252362
Entity Type: Organization
Organization Name: Patriarch Health Care, LLC
Primary Specialty: Home Health
Enumeration Date: Jul 20, 2012
Last Updated: Jul 20, 2012

Practice Location

Address: 109 E 17TH ST
Address 2: SUITE 4293
City: Cheyenne
State: Wyoming
ZIP Code: 82001-4543
Phone: (307) 773-7926

Authorized Official

Name: E MCINTIRE
Title: MEMBER
Phone: (917) 613-3641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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