# LSREF GOLDEN OPS 14 (WY) LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Park Place Assisted Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316279227
- **Authorized official:** TOM WENTZ JR. (EXEC. VP/COO)
- **Authorized official phone:** (701) 837-7103

## Contact information

- **Practice address:** 1930 E 12TH ST, CASPER, WY 82601-4075
- **Practice address phone:** (307) 265-2273
- **Practice address fax:** (307) 265-5384
- **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 | 10200 | WY | Yes |

## Other

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