NPI 1871471391

Rocky Mountain Care - Summit Ridge Assisted Living Facility Oc LLC

Organisation Assisted Living Facility Douglas, WY

Practice location

Address: 1110 Birch St, Douglas, WY 82633-2761
Phone: (307) 358-1897
Mailing address: 598 W 900 S STE 220, Woods Cross, UT 84010-8195

Authorised official

Name: Jason Gatherum
Title: President and Cdo
Phone: (801) 397-4187

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Wyoming →

Registry record

NPI: 1871471391
Entity type: Organization
NPI issued: 22 Aug 2025
Record last updated: 22 Aug 2025

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.