Healthcare Provider Details

I. General information

NPI: 1215025788
Provider Name (Legal Business Name): SHARONS HOSPICE AND PALLIATIVE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 10/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 N. LITTLE HORN
MOORCROFT WY
82721
US

IV. Provider business mailing address

PO BOX 73
MOORCROFT WY
82721-0073
US

V. Phone/Fax

Practice location:
  • Phone: 307-756-3344
  • Fax: 307-756-3394
Mailing address:
  • Phone: 307-756-3344
  • Fax: 307-756-3394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number07188
License Number StateWY

VIII. Authorized Official

Name: SHARON KANODE
Title or Position: PRESIDENT
Credential: RN
Phone: 307-756-3344