NPI 1700949278

State of Wyoming

Organisation Intellectual Disabilities Intermediate Care Facility Lander, WY

Practice location

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

Authorised official

Name: Rachel Jones
Title: Accounting Manager
Phone: (307) 335-6756

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 100180904 (WY)

Other Intermediate Care Facility, Intellectual Disabilities providers in Wyoming →

Registry record

NPI: 1700949278
Entity type: Organization
NPI issued: 18 Dec 2006
Record last updated: 28 Sep 2023

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.