Southwest Wyoming Rehabilitation Center

NPI #1801125430 in Rock Springs, Wyoming

Provider Information

NPI Number: 1801125430
Entity Type: Organization
Organization Name: Southwest Wyoming Rehabilitation Center
Primary Specialty: Case Management
Enumeration Date: Dec 10, 2009
Last Updated: Dec 10, 2009

Practice Location

Address: 4509 FOOTHILL BLVD
City: Rock Springs
State: Wyoming
ZIP Code: 82901-4367
Phone: (307) 382-3842

Authorized Official

Name: MR. JACKSON BRUCE WATERS, BSN, RN, CLNC
Title: CEO
Phone: (307) 382-3842

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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