| NPI | 1922544238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDI KAY NEWHALL Nurse 307-689-3023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WY 8321) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |