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Organization
LSREF GOLDEN OPS 14 (WY) LLC
Active
Organization
LSREF GOLDEN OPS 14 (WY) LLC
Active
Other names
Sierra Hills Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
TOM WENTZ JR. (EXEC. V. PRES/COO)
(701) 837-7103
Entity
Organization
Contact information
Practice address
4606 N COLLEGE DR, CHEYENNE, WY 82009-5456
(307) 638-7798
Mailing address
3015 16TH ST SW, STE 100, MINOT, ND 58701-6906
(701) 837-7103
(701) 838-7785
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10221
WY
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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