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Organization
OXFORD, JACKSON, RIVER ROCK
Active
Organization
OXFORD, JACKSON, RIVER ROCK
Active
Other names
River Rock Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON HARNISCH (CONTROLLER)
(402) 753-6101
Entity
Organization
Contact information
Practice address
3000 W BIG TRAIL DR, JACKSON, WY 83001-9138
(307) 734-0500
(307) 732-7275
Mailing address
3000 W BIG TRAIL DR, JACKSON, WY 83001-9138
(307) 734-0500
(307) 732-4275
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10336
WY
Other
Enumeration date
11/22/2010
Last updated
01/14/2013
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