Diversicare Of Laramie, Llc

NPI 1114306172 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1114306172
Enumeration Date 05/23/2015
Last Updated 05/23/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name KELLY J KELLY
Position PRESIDENT & CEO
Phone (307) 742-3728
Fax (615) 620-7875
Practice Location
503 S 18TH ST
LARAMIE WY, 82070-4303, US
Phone (307) 742-3728
Fax (615) 620-7875
Business Location
503 S 18TH ST
LARAMIE WY, 82070-4303, US
Phone (307) 742-3728
Fax (615) 620-7875
Toxanomy
Taxonomy Code 314000000X
License State
License Number
Remove 1114306172 NPI Number
 

According to our database, Diversicare Of Laramie, Llc NPI is 1114306172, taxonomy code is 314000000X Diversicare Of Laramie, Llc physically located at 503 S 18th St, Laramie WY, 82070-4303. NPI Number 1033115704 has the healthcare provider type.

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1114306172 NPI number is provided on an as is basis without warranty of any kind. 1114306172 is maintained by the National Plan & Provider Enumeration System. The contents of Diversicare Of Laramie, Llc are for informational purposes only.