NPI 1013337880

Mountain Regional Services, INC

Organisation Skilled Nursing Facility Evanston, WY

Practice location

Address: 50 Allegiance Cir, Evanston, WY 82930-3804
Phone: (307) 778-9371
Fax: (307) 789-0823
Mailing address: PO Box 6005, Evanston, WY 82931-6005

Authorised official

Name: Randy Iwen
Title: Controller
Phone: (307) 789-3710

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 32521 (WY)

Other Skilled Nursing Facility providers in Wyoming →

Registry record

NPI: 1013337880
Entity type: Organization
NPI issued: 21 Apr 2014
Record last updated: 21 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.