OrganizationActive
State of Wyoming
NPI 1700949278 · Intellectual Disabilities Intermediate Care Facility · Lander, WY
Provider details
- NPI number
- 1700949278
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- State of Wyoming
- Organization subpart
- Yes
- Authorized official
- Rachel Jones, Accounting Manager(307) 335-6756
- License
- 100180904 (WY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8204 Highway 789
Lander, WY 82520
Phone: (307) 335-6700
Street-level locationGet directions
Mailing address
8204 Highway 789
Lander, WY 82520
Other names (DBA / former)
- Doing business as
- Wyoming Life Resource Center
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2023-09-28
- Certified
- 2023-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.