NPI 1518269653

Oxford, Jackson, River Rock

Organisation Assisted Living Facility Jackson, WY

Practice location

Address: 3000 W Big Trail Dr, Jackson, WY 83001-9138
Phone: (307) 734-0500
Fax: (307) 732-7275

Authorised official

Name: Jason Harnisch
Title: Controller
Phone: (402) 753-6101

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 10336 (WY)

Other Assisted Living Facility providers in Wyoming →

Registry record

NPI: 1518269653
Entity type: Organization
NPI issued: 22 Nov 2010
Record last updated: 14 Jan 2013

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.