NPI 1497127476

Tender Heart Assisted Living

Organisation Assisted Living Facility Evanston, WY

Practice location

Address: 624 Twin Ridge Ave, Evanston, WY 82930-5108
Phone: (307) 444-8969
Fax: (307) 789-8907
Mailing address: 624 Twin Ridge Ave PO Box 2130, Evanston, WY 82930-5108

Authorised official

Name: Cheri Lyn Willard
Title: Owner
Phone: (307) 444-8969

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 15018 (WY)

Other Assisted Living Facility providers in Wyoming →

Registry record

NPI: 1497127476
Entity type: Organization
NPI issued: 29 Oct 2015
Record last updated: 29 Oct 2015

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.