MS. SUZE MARIE KANACK
NPI 1942493879
Respite Care in Riverton, WY
Active since August 23, 2007
About Ms. Suze Marie Kanack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SUZE MARIE KANACK (NPI 1942493879) is an individual respite care provider in Riverton, Wyoming and active in the NPI registry since August 2007.
NPPES Registry Identity
NPI1942493879
Entity TypeIndividualFemale
Primary Taxonomy385H00000X
Provider Legal NameMS. SUZE MARIE KANACK
Location Address207 W MADISON AVERiverton, WY 82501-4247
Mailing Address207 W Madison AveRiverton, WY 82501-4247 · (307) 857-5740
Phone(307) 857-5740
Sole ProprietorYes
Enumeration DateAugust 23, 2007
✔ NPI 1942493879 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRespite CareRespite Care Facility
Taxonomy Code385H00000X
207 W MADISON AVE, Riverton, WY 82501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942493879, enumerated as an "individual" on August 23, 2007.
The provider is located at 207 W MADISON AVE RIVERTON, WY 82501 and the phone number is (307) 857-5740.
Respite Care with taxonomy code 385H00000X.
