NPI 1710117650

Lsref Golden Ops 14 (wy), LLC

Organisation Assisted Living Facility Laramie, WY

Practice location

Address: 1072 N 22nd St, Laramie, WY 82072-5303
Phone: (307) 755-5811
Mailing address: 500 Stevens Ave Suite 500, Solana Beach, CA 92075-2055

Authorised official

Name: Wick Peterson
Title: Vp
Phone: (858) 436-7662

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Wyoming →

Registry record

NPI: 1710117650
Entity type: Organization
NPI issued: 24 Jul 2009
Record last updated: 24 Jul 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.