Five Trails Adult Day Center

NPI #1902944333 in Casper, Wyoming

Provider Information

NPI Number: 1902944333
Entity Type: Organization
Organization Name: Five Trails Adult Day Center
Primary Specialty: Clinic/Center - Adult Day Care
Enumeration Date: Feb 1, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1514 E 12TH ST
Address 2: B 1
City: Casper
State: Wyoming
ZIP Code: 82601
Phone: (307) 234-1102

Authorized Official

Name: MISS JULIE ANN KUKUS
Title: DIRECTOR
Phone: (307) 234-1102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Day Care — Adult Day Care	261QA0600X	Primary

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