TO
TETON OUTPATIENT SERVICES LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
JACKSON, WY
Licensed since
2005
Rate
—
Federal identifiers
NPI registry number1689651481
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients666
Authorized official
NameERIC BOON
TitleOFFICER/AUTHORIZED OFFICIAL
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