SO
STATE OF WYOMING
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
BUFFALO, WY
Licensed since
2022
Rate
—
Federal identifiers
NPI registry number1386396935
Agency details
Parent orgSTATE OF WYOMING
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameBRUCE ALLISON
TitleADMINISTRATOR
Phone3076845511
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Source: NPI Registry · Last refreshed June 24, 2026