# EMG CHEYENNE SH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972834042
- **Authorized official:** PHILIP GISI (PRESIDING MEMBER)
- **Authorized official phone:** (701) 741-6230

## Contact information

- **Practice address:** 4606 N COLLEGE DR, CHEYENNE, WY 82009-5456
- **Practice address phone:** (701) 738-2000
- **Practice address fax:** (701) 757-4701
- **Mailing address:** 2850 24TH AVE S, STE 201, GRAND FORKS, ND 58201-5831
- **Mailing address phone:** (701) 738-2000
- **Mailing address fax:** (701) 757-4701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/28/2010
- **Last updated:** 01/28/2010