NPI 1013670264
2400 Home, LLC
Practice location
- Address
- 2400 Dunn Ave STE B, Cheyenne, WY 82001-3216
- Phone
- (307) 778-8236
- Fax
- (307) 632-4338
Authorised official
- Name
- Rande Charles Pouppirt
- Title
- Partner
- Phone
- (307) 778-8236
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1013670264
- Entity type
- Organization
- NPI issued
- 14 Oct 2021
- Record last updated
- 14 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.