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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