Rise Wyoming LLC

NPI #1801405055 in Buffalo, Wyoming

Provider Information

NPI Number
1801405055
Entity Type
Organization
Organization Name
Rise Wyoming LLC
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jul 23, 2020
Last Updated
Jul 23, 2020

Practice Location

Address
174 GLENCOE WAY
State
Wyoming
ZIP Code
82834-9389
Phone
(307) 620-2473

Authorized Official

Name
AMANDA LORAINNE SIMONDI
Title
OWNER
Phone
(307) 620-2473

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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