NPI 1821638685
Wyoming Services for Independent Living
Practice location
- Address
- 1156 S 2nd St, Lander, WY 82520-3905
- Phone
- (307) 332-4889
- Fax
- (307) 332-2491
Authorised official
- Name
- Stephen Juergens
- Title
- Executive Director
- Phone
- (307) 250-7233
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1821638685
- Entity type
- Organization
- NPI issued
- 9 Jan 2020
- Record last updated
- 9 Jan 2020
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.