Organization
TENDER HEART ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERI LYN WILLARD RN (OWNER)
(307) 444-8969
Entity
Organization
Contact information
Practice address
624 TWIN RIDGE AVE, EVANSTON, WY 82930-5108
(307) 444-8969
(307) 789-8907
Mailing address
624 TWIN RIDGE AVE, PO BOX 2130, EVANSTON, WY 82930-5108
(307) 444-8969
(307) 789-8907
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
15018
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123782900
—
WY
Enumeration date
10/29/2015
Last updated
10/29/2015
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