Organization
SOUTHWEST WYOMING REHABILITATION CENTER
Active
Organization
SOUTHWEST WYOMING REHABILITATION CENTER
Active
Other names
SWRC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKSON BRUCE WATERS RN (CHIEF EXECUTIVE OFFICER)
(307) 371-1241
Entity
Organization
Contact information
Practice address
4509 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-4367
(307) 371-1241
(307) 362-4615
Mailing address
PO BOX 519, ROCK SPRINGS, WY 82902-0519
(307) 371-1241
(307) 362-4615
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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