NPI | 1497127476 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERI LYN WILLARD Owner 307-444-8969 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WY 15018) |
Enumeration Date | 2015-10-29 |
Last Update Date | 2015-10-29 |