Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State of Wyoming

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1700949278

State of Wyoming is an Intellectual Disabilities Intermediate Care Facility in Lander, Wyoming. Licensed in Wyoming. Registered with an NPI since 2006.

Licensed in
WY
In the registry since
2006

Practice location Address checks out

8204 Highway 789
Lander, WY 82520
Phone: (307) 335-6700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence 100180904 (WY)

Record details

NPI number1700949278
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of Wyoming
Authorized official Rachel Jones — Accounting Manager · (307) 335-6756
Other names Wyoming Life Resource Center
NPI enumeratedDecember 18, 2006
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023
Mailing address8204 Highway 789, Lander, WY 82520

Other providers in Lander