| NPI | 1730570128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS RAY LAWRENCE President 307-684-7418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WY 0814236) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: WY 0713165) |
| Enumeration Date | 2015-02-07 |
| Last Update Date | 2015-02-07 |