State of Wyoming

NPI #1659328821 in Basin, Wyoming

Provider Information

NPI Number
1659328821
Entity Type
Organization
Organization Name
State of Wyoming
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 31, 2006
Last Updated
Mar 10, 2025

Practice Location

Address
890 HIGHWAY 20 S
City
Basin
State
Wyoming
ZIP Code
82410-9587
Phone
(307) 568-2431

Authorized Official

Name
MARLA FAY TAYLOR-THOMAS, LNHA
Title
ADMINISTRATOR
Phone
(307) 568-2431

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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