Lsref Golden Ops 14 (wy) LLC

NPI #1598097404 in Casper, Wyoming

Provider Information

NPI Number
1598097404
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
3955 E 12TH ST
City
Casper
State
Wyoming
ZIP Code
82609-3114
Phone
(307) 577-3045

Authorized Official

Name
TOM WENTZ JR.
Title
EXEC. VP/COO
Phone
(701) 837-7103

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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