Organization
WYOMING ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA TIMBERMAN (MANAGING MEMBER)
(307) 756-2972
Entity
Organization
Contact information
Practice address
108 ABBY LN, SUNDANCE, WY 82729-5056
(307) 283-1042
Mailing address
PO BOX 944, SUNDANCE, WY 82729-0944
(307) 283-1042
(307) 283-2120
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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