| NPI | 1396034112 |
|---|---|
| Doing Business As | GREEN HOUSE LIVING FOR SHERIDAN |
| Entity Type | Organization |
| Authorized Contact | REGINA PEARSON Provider Enrollment Specialist 307-675-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2025-02-03 |