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Organization

WYO RISE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE SERVANEZ (DIRECTOR)
(720) 937-1880
Entity
Organization

Contact information

Practice address
318 W 11TH AVE, TORRINGTON, WY 82240-3349
(720) 937-1880
Mailing address
318 W 11TH AVE, TORRINGTON, WY 82240-3349
(720) 937-1880

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/24/2022
Last updated
06/24/2022
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