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Organization
STATE OF WYOMING
Active
Organization
STATE OF WYOMING
Active
Other names
Wyoming Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA FAY TAYLOR-THOMAS LNHA (ADMINISTRATOR)
(307) 568-2431
Entity
Organization
Contact information
Practice address
890 HIGHWAY 20 S, BASIN, WY 82410-9587
(307) 568-2431
(307) 568-3887
Mailing address
890 HIGHWAY 20 S, BASIN, WY 82410-9587
(307) 568-2431
(307) 568-3887
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
06-107
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100176100
—
WY
Enumeration date
05/31/2006
Last updated
03/10/2025
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