Organization
CHEYENNE OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOV ORT (DIRECTOR OF OPERATIONS)
(347) 838-0053
Entity
Organization
Contact information
Practice address
2700 E 12TH ST, CHEYENNE, WY 82001-5604
(307) 634-7986
Mailing address
925 S NIAGARA ST STE 360, DENVER, CO 80224-1681
(347) 838-0053
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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