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Organization
PLATTE COUNTY MEMORIAL NURSING HOME
Active
Organization
PLATTE COUNTY MEMORIAL NURSING HOME
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
201 14TH ST, WHEATLAND, WY 82201-3201
(307) 322-3636
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
07-070
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106545901
—
WY
Enumeration date
02/21/2007
Last updated
12/30/2021
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