Lsref Golden Ops 14 (wy) LLC

NPI #1033441324 in Laramie, Wyoming

Provider Information

NPI Number
1033441324
Entity Type
Organization
Organization Name
Lsref Golden Ops 14 (wy) LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Feb 11, 2010
Last Updated
Feb 11, 2010

Practice Location

Address
1072 N 22ND ST
State
Wyoming
ZIP Code
82072-5303
Phone
(307) 755-5811

Authorized Official

Name
TOM WENTZ JR.
Title
EXEC VP/COO
Phone
(701) 837-7103

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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