State of Wyoming
NPI #1386396935 in Buffalo, Wyoming
Provider Information
- NPI Number
- 1386396935
- Entity Type
- Organization
- Organization Name
- State of Wyoming
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF WYOMING
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 25, 2022
- Last Updated
- Mar 23, 2023
Practice Location
Authorized Official
- Name
- MR. BRUCE ALLISON
- Title
- ADMINISTRATOR
- Phone
- (307) 684-5511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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