# CASPER INDEPENDENT LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EMPRES WYOMING HEALTHCARE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578035440
- **Legal business name:** EMPRES WYOMING HEALTHCARE, LLC
- **Authorized official:** MICHAEL J. MILLER (CFO AND ASSISTANT MANAGER)
- **Authorized official phone:** (360) 892-6628

## Contact information

- **Practice address:** 77 GARDENIA ST, CASPER, WY 82604-3803
- **Practice address phone:** (307) 234-0572
- **Practice address fax:** (307) 237-0071
- **Mailing address:** 4601 NE 77TH AVE STE 300, VANCOUVER, WA 98662-6736
- **Mailing address phone:** (360) 892-6628
- **Mailing address fax:** (360) 882-5793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/17/2018
- **Last updated:** 12/17/2018