Emg Cheyenne Aw LLC

NPI #1154652220 in Cheyenne, Wyoming

Provider Information

NPI Number
1154652220
Entity Type
Organization
Organization Name
Emg Cheyenne Aw LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jan 28, 2010
Last Updated
Jan 28, 2010

Practice Location

Address
4010 N COLLEGE DR
State
Wyoming
ZIP Code
82001-1960
Phone
(701) 738-2000

Authorized Official

Name
PHILIP GISI
Title
PRESIDING MEMBER
Phone
(701) 741-6230

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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