institution
Wyoming Life Resource Center
Intellectual Disabilities Intermediate Care Facility in Lander, Wyoming
NPI 1366501561

Wyoming Life Resource Center is a Intellectual Disabilities Intermediate Care Facility based in Lander, WY. Wyoming Life Resource Center practices in Lander, WY. The NPI Number for Wyoming Life Resource Center is 1366501561 and holds a License No. 100180900 (Wyoming).

The current practice location address for Wyoming Life Resource Center is 8204 State Highway 789, Lander, WY and can be reached out via phone at 307-335-6700 and via fax at 307-335-6764.

Location: 8204 State Highway 789, Lander, WY, 82520-2941
institution
Provider Profile Details
NPI Number
1366501561
Provider Name
Wyoming Life Resource Center
Credential
Provider Entity Type
Organization
Address
8204 State Highway 789, Lander, WY, 82520-2941
Phone Number
307-335-6700
Fax Number
307-335-6764
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100180900 05 WY
institution
Provider Business Practice Location Address Details
Address
8204 State Highway 789
City
State
Zip
82520-2941
Phone Number
307-335-6700
Fax Number
307-335-6764
person
Provider Business Mailing Address Details
Address
8204 State Highway 789
City
State
Zip
82520-2941
Phone Number
307-335-6700
Fax Number
307-335-6764
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
100180900 (Wyoming)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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