Lsref Golden Ops 14 (wy), LLC

NPI #1710117650 in Laramie, Wyoming

Provider Information

NPI Number
1710117650
Entity Type
Organization
Organization Name
Lsref Golden Ops 14 (wy), LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jul 24, 2009
Last Updated
Jul 24, 2009

Practice Location

Address
1072 N 22ND ST
State
Wyoming
ZIP Code
82072-5303
Phone
(307) 755-5811

Authorized Official

Name
WICK PETERSON
Title
VP
Phone
(858) 436-7662

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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