Organization
LSREF GOLDEN OPS 14 (WY) LLC
Active
Other names
Spring Wind Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
TOM WENTZ JR. (EXEC VP/COO)
(701) 837-7103
Entity
Organization
Contact information
Practice address
1072 N 22ND ST, LARAMIE, WY 82072-5303
(307) 755-5811
(307) 721-0478
Mailing address
3015 16TH ST SW, STE 100, MINOT, ND 58701-6906
(701) 837-7103
(701) 838-7785
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10226
WY
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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