PROFESSIONAL HOME CARE OF JACKSON

A HOME HEALTHCARE PROVIDER

Company Name:

Medicare Provider Number:

537063

Ownership Type:

Government - State/County

Date Certified:

12-05-1990

Address:

555 E BROADWAY PO BOX 428

City, State, Zip:

JACKSON , WY 83001

County:

TETON

Country:

Phone:

3077333636

Fax:

General Email:

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