Southwest Wyoming Rehabilitation Center
NPI #1558699835 in Rock Springs, Wyoming
Provider Information
- NPI Number
- 1558699835
- Entity Type
- Organization
- Organization Name
- Southwest Wyoming Rehabilitation Center
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Nov 25, 2009
- Last Updated
- Nov 25, 2009
Practice Location
- Address
- 4509 FOOTHILL BLVD
- City
- Rock Springs
- State
- Wyoming
- ZIP Code
- 82901-4367
- Phone
- (307) 371-1241
Authorized Official
- Name
- MR. JACKSON BRUCE WATERS, RN
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (307) 371-1241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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