Whalio Doctors

NPI 1669606943

Canyon River Staffing

Organisation In Home Supportive Care Agency Jackson, WY

Practice location

Address
265 Blair Dr APT a, Jackson, WY 83002
Phone
(130) 741-3690
Mailing address
PO Box 14622, Jackson, WY 83002-4622

Authorised official

Name
Mamie Lou Thurston
Title
President and Owner
Phone
(307) 413-6909

Registered specialties (2)

In Home Supportive Care Agency Primary
Agencies Taxonomy 253Z00000X Licence 18595 (WY)
Nursing Care Agency
Agencies Taxonomy 251J00000X Licence 18595 (WY)

Registry record

NPI
1669606943
Entity type
Organization
NPI issued
14 May 2009
Record last updated
14 May 2009

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.