CANYON RIVER STAFFING
Organization (NPI-2)
Active
In Home Supportive Care
Provider Information
- NPI Number
1669606943- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 265 BLAIR DR APT A, JACKSON, WY, 83002
- Phone
- (130) 741-3690
Specialties & Taxonomies
Nursing Care
License: WY #18595
In Home Supportive Care
Primary License: WY #18595