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Organization
ALTERNATIVE ELDER LIVING, INC.
Active
Organization
ALTERNATIVE ELDER LIVING, INC.
Active
Other names
Green House Living for Sheridan
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA PEARSON (PROVIDER ENROLLMENT SPECIALIST)
(307) 675-4668
Entity
Organization
Contact information
Practice address
2311 SHIRLEY CV, SHERIDAN, WY 82801-8306
(307) 672-0600
Mailing address
2311 SHIRLEY CV, SHERIDAN, WY 82801-8306
(307) 672-0600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133658400
—
WY
Enumeration date
04/01/2011
Last updated
02/03/2025
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