Showboat INC

NPI #1831559186 in Lander, Wyoming

Provider Information

NPI Number: 1831559186
Entity Type: Organization
Organization Name: Showboat INC
Primary Specialty: Case Management
Enumeration Date: Feb 29, 2016
Last Updated: Feb 29, 2016

Practice Location

Address: 150 WYOMING ST
City: Lander
State: Wyoming
ZIP Code: 82520-3911
Phone: (307) 349-1176

Authorized Official

Name: RON ALAN FOOTE
Title: OWNER
Phone: (307) 349-1176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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