| NPI | 1467534081 |
|---|---|
| Other Name | LONG TERM CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | COBY L LA BLUE CFO 307-578-2490 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WY 06-003) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2025-09-12 |