NPI | 1073535712 |
---|---|
Doing Business As | BONNIE BLUEJACKET MEMORIAL NURSING HOME |
Entity Type | Organization |
Authorized Contact | RICK SCHROEDER Administrator 307-568-3311 |
Organization Subpart ? | Yes |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2006-07-24 |
Last Update Date | 2022-01-25 |