Organization
SENIOR CENTER OF JACKSON HOLE, INC.
Active
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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