CORAM HEALTHCARE OF WYOMING, LLC
Ambulatory Health at Stillwater Ave, Cheyenne, WY

License number
Wyoming N/A
Category
Ambulatory Health
Type
Infusion Therapy
Owner
Name: VITO PONZIO, JR
Title: SR VP
Phone: (303) 672-8631
Address
Address 2
1507 Stillwater Ave SUITE C, Cheyenne, WY 82009
1675 Broadway SUITE 900, Denver, CO 80202
National Provider ID: 1720035249
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CORAM HEALTHCARE OF WYOMING, LLC at bizstanding.com

Coram Healthcare

1507 Stillwater Ave, Cheyenne, WY 82009

Industry:
Medical Equip Merchant Whols, Medical and Hospital Equipment
Doing business as:
Coram Healthcare of Wyoming LLC
Site:
coramhc.com
Phone:
(307) 635-3785 (Phone), (307) 635-7002 (Fax), (307) 235-8665 (Phone)
Managers:
Kim Golding (Manager),Jason Werner (Manager)
SIC:
5047 - Medical, Dental, and Hospital Equipment and Supplies
Company size:
1

CORAM HEALTHCARE OF WYOMING, LLC

1675 Broadway #900, Denver, CO 80202

Status:
Inactive
Doing business as:
Coram Healthcare of Wyoming, L.L.C.
Registration:
Jun 25, 1998
Inactive since:
Jan 11, 2010
Phone:
(303) 292-4973 (Phone)
State ID:
W6419
Business type:
LIMITED LIABILITY COMPANY
Entity State:
DE
Founder Chief Executive Officer And Managing Partner Startech Early Ventures:
Robert Allen (Founder Chief Executive Officer And Managing Partner Startech Early Ventures)
Agent:
Coram Healthcare Of Wyoming Llc,1675 Broadway SUITE 900, Denver, CO 80202 (Physical)
SIC6:
808200 - Home health care service
Company size:
20

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