Organization
WYOMING SERVICES FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN JUERGENS (EXECUTIVE DIRECTOR)
(307) 250-7233
Entity
Organization
Contact information
Practice address
1156 S 2ND ST, LANDER, WY 82520-3905
(307) 332-4889
(307) 332-2491
Mailing address
1156 S 2ND ST, LANDER, WY 82520-3905
(302) 332-4889
(307) 332-2491
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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