Five Star Quality Care-Wy LLC

NPI #1639124712 in Worland, Wyoming

Provider Information

NPI Number
1639124712
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 24, 2006
Last Updated
Mar 28, 2019

Practice Location

Address
1901 HOWELL AVE
State
Wyoming
ZIP Code
82401-3733
Phone
(307) 347-4285

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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