Five Star Quality Care-Wy LLC

NPI #1619923224 in Laramie, Wyoming

Provider Information

NPI Number
1619923224
Entity Type
Organization
Organization Name
Five Star Quality Care-Wy LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FIVE STAR QUALITY CARE-WY LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 25, 2006
Last Updated
Mar 28, 2019

Practice Location

Address
503 S 18TH ST
State
Wyoming
ZIP Code
82070-4303
Phone
(307) 742-3728

Authorized Official

Name
KATHERINE E POTTER
Title
PRESIDENT & CHIEF EXECUTIVE OFFICER
Phone
(617) 796-8387

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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