NPI 1558699835
Southwest Wyoming Rehabilitation Center
Practice location
- Address
- 4509 Foothill Blvd, Rock Springs, WY 82901-4367
- Phone
- (307) 371-1241
- Fax
- (307) 362-4615
- Mailing address
- PO Box 519, Rock Springs, WY 82902-0519
Authorised official
- Name
- Jackson Bruce Waters
- Title
- Chief Executive Officer
- Phone
- (307) 371-1241
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1558699835
- Entity type
- Organization
- NPI issued
- 25 Nov 2009
- Record last updated
- 25 Nov 2009
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.