NPI 1154652220

Emg Cheyenne Aw LLC

Organisation Assisted Living Facility Cheyenne, WY

Practice location

Address: 4010 N College Dr, Cheyenne, WY 82001-1960
Phone: (701) 738-2000
Fax: (701) 757-4701
Mailing address: 2850 24th Ave S STE 201, Grand Forks, ND 58201-5831

Authorised official

Name: Philip Gisi
Title: Presiding Member
Phone: (701) 741-6230

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Wyoming →

Registry record

NPI: 1154652220
Entity type: Organization
NPI issued: 28 Jan 2010
Record last updated: 28 Jan 2010

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.