Healthcare Provider Details

I. General information

NPI: 1982893202
Provider Name (Legal Business Name): JOAN CARES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2007
Last Update Date: 10/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1187 PERKINS LN
LOVELL WY
82431-9572
US

IV. Provider business mailing address

5205 CHAPARRAL DR LOT 3
LARAMIE WY
82070-6863
US

V. Phone/Fax

Practice location:
  • Phone: 307-760-8414
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS JOAN SKOVGARD
Title or Position: OWNER
Credential:
Phone: 307-760-8414