Lsref Golden Ops 14 (wy) LLC

NPI #1508198417 in Cheyenne, Wyoming

Provider Information

NPI Number
1508198417
Entity Type
Organization
Organization Name
Lsref Golden Ops 14 (wy) LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Feb 2, 2010
Last Updated
Feb 2, 2010

Practice Location

Address
4010 N COLLEGE DR
State
Wyoming
ZIP Code
82001-1960
Phone
(307) 778-9511

Authorized Official

Name
TOM WENTZ JR.
Title
EXECUTIVE V. PRESIDENT/COO
Phone
(701) 837-7103

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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