# STATE OF WYOMING

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STATE OF WYOMING
- **Other names:** Mountain View Skilled Nursing Community at Wyoming Life Resource Cente
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093337990
- **Legal business name:** STATE OF WYOMING
- **Authorized official:** RACHEL JONES (ACCOUNTING MANAGER)
- **Authorized official phone:** (307) 335-6756

## Contact information

- **Practice address:** 8204 HIGHWAY 789, LANDER, WY 82520
- **Practice address phone:** (307) 335-6700
- **Mailing address:** 8204 HIGHWAY 789, LANDER, WY 82520
- **Mailing address phone:** (307) 335-6700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/13/2020
- **Last updated:** 09/28/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 222959500 | — | WY |