State of Wyoming

NPI #1700949278 in Lander, Wyoming

Provider Information

NPI Number
1700949278
Entity Type
Organization
Organization Name
State of Wyoming
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF WYOMING
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Dec 18, 2006
Last Updated
Sep 28, 2023

Practice Location

Address
8204 HIGHWAY 789
City
Lander
State
Wyoming
ZIP Code
82520
Phone
(307) 335-6700

Authorized Official

Name
RACHEL JONES
Title
ACCOUNTING MANAGER
Phone
(307) 335-6756

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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