Healthcare Provider Details

I. General information

NPI: 1568376366
Provider Name (Legal Business Name): LANDER SENIOR CITIZENS CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 S 10TH ST
LANDER WY
82520-2604
US

IV. Provider business mailing address

205 S 10TH ST
LANDER WY
82520-2604
US

V. Phone/Fax

Practice location:
  • Phone: 307-332-2746
  • Fax: 307-332-0322
Mailing address:
  • Phone: 307-332-2746
  • Fax: 307-332-0322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JANE NOLDE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 307-332-2746