Organization
CSL-CODY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLARD FORSYTH (VP/GENERAL COUNSEL)
(541) 636-3460
Entity
Organization
Contact information
Practice address
2401 COUGAR AVE, CODY, WY 82414-8499
(541) 636-3460
Mailing address
360 E 10TH AVE STE 104, EUGENE, OR 97401-3273
(541) 636-3460
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
01/07/2021
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