Provider Demographics
NPI:1760688188
Name:RIVERTON SENIOR CITIZENS CENTER
Entity Type:Organization
Organization Name:RIVERTON SENIOR CITIZENS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:G
Authorized Official - Last Name:BURT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-856-6332
Mailing Address - Street 1:303 E LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:WY
Mailing Address - Zip Code:82501-3526
Mailing Address - Country:US
Mailing Address - Phone:307-856-6332
Mailing Address - Fax:307-856-0700
Practice Address - Street 1:303 E LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:WY
Practice Address - Zip Code:82501-3526
Practice Address - Country:US
Practice Address - Phone:307-856-6332
Practice Address - Fax:307-856-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable