Jciloa
Jciloa is a Substance Abuse Rehabilitation Facility in Douglas, Wyoming. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1000 Erwin StDouglas, WY 82633-2914
Phone: (307) 331-3703
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|
Record details
| NPI number | 1366108425 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edward Tucker — Owner · (307) 331-3703 |
| Other names | Edward Michael Tucker Jiloa |
| NPI enumerated | November 12, 2021 |
| Last updated in NPPES | July 2, 2022 |
| Certification date | July 2, 2022 |
| Mailing address | 1000 Erwin St, Douglas, WY 82633-2914 |