| Sisterhood Sanctuary, Llc | |
|
110 S Gould St Sheridan WY 82801-6321 | |
| (307) 763-8701 | |
| (307) 224-2293 |
| Full Name | Sisterhood Sanctuary, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 110 S Gould St, Sheridan, Wyoming |
| Authorized Official Name and Position | Amy M. Rabon (CEO) |
| Authorized Official Contact | 3077638701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sisterhood Sanctuary, Llc Po Box 5087 Sheridan WY 82801-1387 Ph: () - | Sisterhood Sanctuary, Llc 110 S Gould St Sheridan WY 82801-6321 Ph: (307) 763-8701 |
| NPI Number | 1679043756 |
|---|---|
| Provider Enumeration Date | 11/30/2018 |
| Last Update Date | 02/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679043756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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