| NPI | 1700871670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH J. WOOD Administrator 307-367-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WY 06-125) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2020-08-22 |