# LSREF GOLDEN OPS 14 (WY) LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sierra Hills Assisted Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235461146
- **Authorized official:** TOM WENTZ JR. (EXEC. V. PRES/COO)
- **Authorized official phone:** (701) 837-7103

## Contact information

- **Practice address:** 4606 N COLLEGE DR, CHEYENNE, WY 82009-5456
- **Practice address phone:** (307) 638-7798
- **Mailing address:** 3015 16TH ST SW, STE 100, MINOT, ND 58701-6906
- **Mailing address phone:** (701) 837-7103
- **Mailing address fax:** (701) 838-7785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 10221 | WY | Yes |

## Other

- **Enumeration date:** 02/02/2010
- **Last updated:** 02/02/2010
