Wyoming Life Resource Center

LBN: State Of Wyoming
Wyoming Life Resource Center is an health care organization with primary practice located at 8204 Highway 789 , Lander WY 82520. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. State Of Wyoming can be contacted via phone (307) 335-6700, or through Jones, Rachel via phone (307) 335-6756.

Contact Information

Primary practice address
8204 Highway 789 Lander WY 82520
Phone: (307) 335-6700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jones, Rachel
Phone: (307) 335-6756

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 100180904 Wyoming

Profile Details

NPI number 1700949278
LBN Legal business name State Of Wyoming
DBA Doing business as Wyoming Life Resource Center
Authorized official Jones, Rachel
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 18th, 2006
Last updated Sep 28th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700949278 NPPES
Wyoming MEDICAID 100180904

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