# FIVE STAR QUALITY CARE-WY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FIVE STAR QUALITY CARE-WY LLC
- **Other names:** Worland Healthcare & Rehabilitation Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639124712
- **Legal business name:** FIVE STAR QUALITY CARE-WY LLC
- **Authorized official:** KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (617) 796-8387

## Contact information

- **Practice address:** 1901 HOWELL AVE, WORLAND, WY 82401-3733
- **Practice address phone:** (307) 347-4285
- **Practice address fax:** (307) 347-2154
- **Mailing address:** 1901 HOWELL AVE, WORLAND, WY 82401-3733
- **Mailing address phone:** (307) 347-4285
- **Mailing address fax:** (307) 347-2154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 06-137 | WY | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 03/28/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 115809100 | — | WY |