Life Skills Rehabilitation Center, L.l.c.
NPI #1043332430 in Rock Springs, Wyoming
Provider Information
- NPI Number
- 1043332430
- Entity Type
- Organization
- Organization Name
- Life Skills Rehabilitation Center, L.l.c.
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Apr 4, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3405 WHITE MOUNTAIN BLVD
- City
- Rock Springs
- State
- Wyoming
- ZIP Code
- 82901-4729
- Phone
- (307) 362-6029
Authorized Official
- Name
- MR. GORDON MAX MICKELSON III
- Title
- PARTNER
- Phone
- (307) 389-9169
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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