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Organization
LSREF GOLDEN OPS 14 (WY), LLC
Active
Organization
LSREF GOLDEN OPS 14 (WY), LLC
Active
Other names
Spring Wind Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
WICK PETERSON (VP)
(858) 436-7662
Entity
Organization
Contact information
Practice address
1072 N 22ND ST, LARAMIE, WY 82072-5303
(307) 755-5811
Mailing address
500 STEVENS AVE, SUITE 500, SOLANA BEACH, CA 92075-2055
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NULL
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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