Diversicare of Laramie, LLC
NPI #1114306172 in Laramie, Wyoming
Provider Information
- NPI Number
- 1114306172
- Entity Type
- Organization
- Organization Name
- Diversicare of Laramie, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DIVERSICARE LEASING COMPANY II, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 23, 2015
- Last Updated
- May 23, 2015
Practice Location
Authorized Official
- Name
- KELLY J GILL
- Title
- PRESIDENT & CEO
- Phone
- (615) 771-7575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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