Organization
LSREF GOLDEN OPS 14 (WY), LLC
Active
Other names
Spring Wind Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
WICK PETERSON (VP)
(858) 436-7662
Entity
Organization
Contact information
Practice address
1072 N 22ND ST, LARAMIE, WY 82072-5303
(307) 755-5811
Mailing address
500 STEVENS AVE, SUITE 500, SOLANA BEACH, CA 92075-2055
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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