| NPI | 1386396935 |
|---|---|
| Former Legal Business Name | WYOMING VETERANS SKILLED NURSING FACILITY |
| Entity Type | Organization |
| Authorized Contact | BRUCE ALLISON Administrator 307-684-5511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2023-03-23 |