Organization
STATE OF WYOMING
Active
Parent organization
STATE OF WYOMING
Other names
Wyoming Veterans Skilled Nursing Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF WYOMING
Authorized official
MR. BRUCE ALLISON (ADMINISTRATOR)
(307) 684-5511
Entity
Organization
Contact information
Practice address
700 VETERANS LN, BUFFALO, WY 82834-9402
(307) 684-5511
(307) 684-7636
Mailing address
700 VETERANS LN, BUFFALO, WY 82834-9402
(307) 684-5511
(307) 684-7636
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
03/23/2023
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