Organization
SOUTHWEST WYOMING REHABILITATION CENTER
Active
Other names
SWRC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKSON BRUCE WATERS BSN, RN, CLNC (CEO)
(307) 382-3842
Entity
Organization
Contact information
Practice address
4509 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-4367
(307) 382-3842
(307) 362-4615
Mailing address
PO BOX 519, ROCK SPRINGS, WY 82902-0519
(307) 382-3842
(307) 362-4615
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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