Organization · Type 2 NPI
State of Wyoming
Intellectual Disabilities Intermediate Care Facility · Lander, WY
NPI number
1700949278
Active
Practice location
8204 Highway 789
Lander, WY 82520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 100180904 (WY) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
4 other providers at this address
Other intellectual disabilities intermediate care facility providers in Lander
About NPI 1700949278
State of Wyoming's National Provider Identifier is 1700949278, issued on Dec 18, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Lander, WY. The record was last updated on Sep 28, 2023.