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Organization

OXFORD, JACKSON, RIVER ROCK

Active
Other names
River Rock Assisted Living
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON HARNISCH (CONTROLLER)
(402) 753-6101
Entity
Organization

Contact information

Practice address
3000 W BIG TRAIL DR, JACKSON, WY 83001-9138
(307) 734-0500
(307) 732-7275
Mailing address
3000 W BIG TRAIL DR, JACKSON, WY 83001-9138
(307) 734-0500
(307) 732-4275

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10336
WY

Other

Enumeration date
11/22/2010
Last updated
01/14/2013
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