Organization
WYOMING INDEPENDENT LIVING REHABILITATION, INC.
Active
Other names
WILR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH L HOFF (EXECUTIVE DIRECTOR)
(307) 266-6956
Entity
Organization
Contact information
Practice address
305 W 1ST ST, CASPER, WY 82601-2405
(307) 266-6956
(307) 266-6957
Mailing address
305 W 1ST ST, CASPER, WY 82601-2405
(307) 266-6956
(307) 266-6957
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
162187
WY
Other
Enumeration date
11/03/2006
Last updated
08/22/2020
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