Organization
NIOBRARA SENIOR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE BAKER (PROGRAM DIRECTOR)
(307) 334-2561
Entity
Organization
Contact information
Practice address
611 E 6TH ST, LUSK, WY 82225-0928
(307) 334-2561
Mailing address
PO BOX 928, LUSK, WY 82225-0928
(307) 334-2561
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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