Organization
ALTERNATIVE ELDER LIVING, INC.
Active
Other names
Green House Living for Sheridan
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA PEARSON (PROVIDER ENROLLMENT SPECIALIST)
(307) 675-4668
Entity
Organization
Contact information
Practice address
2311 SHIRLEY CV, SHERIDAN, WY 82801-8306
(307) 672-0600
Mailing address
2311 SHIRLEY CV, SHERIDAN, WY 82801-8306
(307) 672-0600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133658400
—
WY
Enumeration date
04/01/2011
Last updated
02/03/2025
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