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Organization

SHOSHONI SENIOR CITIZENS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDY LINN (DIRECTOR)
(307) 876-2703
Entity
Organization

Contact information

Practice address
214 E. 2ND, SHOSHONI, WY 82649-0027
(307) 876-2703
(307) 876-2685
Mailing address
PO BOX 27, 214 E. 2ND, SHOSHONI, WY 82649-0027
(307) 876-2703
(307) 876-2685

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116118100
WY
Enumeration date
08/07/2014
Last updated
08/07/2014
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