NPI 1104249432

Mission Health Services

Organisation Skilled Nursing Facility Green River, WY

Practice location

Address: 1445 Uinta Dr, Green River, WY 82935-5004
Phone: (801) 389-1523
Mailing address: 2825 Virginia Way, Ogden, UT 84403-0452

Authorised official

Name: Gary Kelso
Title: President
Phone: (801) 389-1523

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Wyoming →

Registry record

NPI: 1104249432
Entity type: Organization
NPI issued: 22 Jan 2014
Record last updated: 12 Sep 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.