| NPI | 1922198936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON SKIVER Manager 307-864-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WY 07-201) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |