Casper Independent Living, LLC

NPI #1578035440 in Casper, Wyoming

Provider Information

NPI Number
1578035440
Entity Type
Organization
Organization Name
Casper Independent Living, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
EMPRES WYOMING HEALTHCARE, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 17, 2018
Last Updated
Dec 17, 2018

Practice Location

Address
77 GARDENIA ST
City
Casper
State
Wyoming
ZIP Code
82604-3803
Phone
(307) 234-0572

Authorized Official

Name
MICHAEL J. MILLER
Title
CFO AND ASSISTANT MANAGER
Phone
(360) 892-6628

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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