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 |