Organization
RISE WYOMING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LORAINNE SIMONDI (OWNER)
(307) 620-2473
Entity
Organization
Contact information
Practice address
174 GLENCOE WAY, BUFFALO, WY 82834-9389
(307) 620-2473
Mailing address
174 GLENCOE WAY, BUFFALO, WY 82834-9389
(307) 620-2473
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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