Wyoming Independent Living Rehabilitation, INC.
Case Management in Casper, WY. Organization (NPI-2).
NPI number1720167562
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1720167562
- Entity type
- Organization (NPI-2)
- Legal business name
- Wyoming Independent Living Rehabilitation, INC.
- Organization subpart
- No
- Enumeration date
- Nov 3, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | 162187 | WY | Yes |
Other names
- Wilr (Other Name)
Practice location
305 W 1st StCasper, WY 82601-2405
Phone 307-266-6956 · Fax 307-266-6957
Mailing address
305 W 1st StCasper, WY 82601-2405
Phone 307-266-6956 · Fax 307-266-6957
Authorized official
Kenneth L Hoff
Executive Director
3072666956
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