NPI 1366501561

Wyoming Life Resource Center

Organisation Intellectual Disabilities Intermediate Care Facility Lander, WY

Practice location

Address: 8204 State Highway 789, Lander, WY 82520-2941
Phone: (307) 335-6700
Fax: (307) 335-6764

Authorised official

Name: Kevin Kulow
Title: Operations Manager
Phone: (307) 335-6762

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 100180900 (WY)

Other Intermediate Care Facility, Intellectual Disabilities providers in Wyoming →

Registry record

NPI: 1366501561
Entity type: Organization
NPI issued: 6 Dec 2006
Record last updated: 17 Jul 2025

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.