STATE OF WYOMING
Organization (NPI-2)
Active
Intermediate Care Facility, Intellectual Disabilities
Provider Information
- NPI Number
1700949278- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 8204 HIGHWAY 789, LANDER, WY, 82520
- Phone
- (307) 335-6700
Specialties & Taxonomies
Intermediate Care Facility, Intellectual Disabilities
Primary License: WY #100180904