# SUNDANCE ASSISTED CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093467441
- **Authorized official:** LINDA JOHNSON REGISTERED NURSE (NURSE MANAGER/OWNER)
- **Authorized official phone:** (307) 283-1042

## Contact information

- **Practice address:** 108 ABBY LANE, SUNDANCE, WY 82729-0944
- **Practice address phone:** (307) 283-1042
- **Practice address fax:** (307) 283-2120
- **Mailing address:** PO BOX 944, SUNDANCE, WY 82729-0944
- **Mailing address phone:** (307) 283-1042
- **Mailing address fax:** (307) 283-2120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2022
- **Last updated:** 01/26/2022