# DOUGLAS CARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aberdeen Care Center dba Douglas Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306965165
- **Authorized official:** MR. RAMON JOSEPH RUDE (PARTNER)
- **Authorized official phone:** (406) 655-1883

## Contact information

- **Practice address:** 1108 BIRCH ST, DOUGLAS, WY 82633-2761
- **Practice address phone:** (307) 358-3397
- **Practice address fax:** (307) 358-1891
- **Mailing address:** 1108 BIRCH ST, DOUGLAS, WY 82633-2761
- **Mailing address phone:** (307) 358-3397
- **Mailing address fax:** (307) 358-1891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 07192 | WY | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 04/28/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 123218500 | — | WY |