| NPI | 1538581137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA GREEN Administrator 307-455-2645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WY P0713-106) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |