NPI 1508198417

Lsref Golden Ops 14 (wy) LLC

Organisation Assisted Living Facility Cheyenne, WY

Practice location

Address: 4010 N College Dr, Cheyenne, WY 82001-1960
Phone: (307) 778-9511
Fax: (307) 772-0977
Mailing address: 3015 16th St SW STE 100, Minot, ND 58701-6906

Authorised official

Name: Tom Wentz
Title: Executive V. President/Coo
Phone: (701) 837-7103

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 10113 (WY)

Other Assisted Living Facility providers in Wyoming →

Registry record

NPI: 1508198417
Entity type: Organization
NPI issued: 2 Feb 2010
Record last updated: 2 Feb 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.