| NPI | 1396034112 |
|---|---|
| Doing Business As | GREEN HOUSE LIVING FOR SHERIDAN |
| Entity Type | Organization |
| Authorized Contact | JIM FULLER Interim Administrator 307-672-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2022-03-01 |