Organization
SENIOR CENTER OF JACKSON HOLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY ZAIST (EXECUTIVE DIRECTOR)
(307) 733-7300
Entity
Organization
Contact information
Practice address
830 E HANSEN AVE, JACKSON, WY 83001-8791
(307) 733-7300
Mailing address
830 E HANSEN AVE, JACKSON, WY 83001-8791
(307) 733-7300
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110532900
MEDICARE
—
Enumeration date
05/22/2015
Last updated
05/22/2015
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