NPI 1528175635

Hospice Alliance of Wyoming, LLC

Organisation Community Based Hospice Care Agency Afton, WY

Practice location

Address: 878 N. Washington St., Afton, WY 83310-9770
Phone: (307) 885-7583
Fax: (307) 885-7585
Mailing address: 965 S 100 W Suite 204, Logan, UT 84321-6062

Authorised official

Name: Justin Larsen
Title: Owner/Ceo
Phone: (435) 753-0707

Registered specialties

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X Licence 07-156 (WY)

Other Hospice Care, Community Based providers in Wyoming →

Registry record

NPI: 1528175635
Entity type: Organization
NPI issued: 24 Aug 2006
Record last updated: 22 Aug 2020

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.