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Organization

DOUGLAS CARE CENTER, LLC

Active
Other names
Aberdeen Care Center dba Douglas Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAMON JOSEPH RUDE (PARTNER)
(406) 655-1883
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
07192
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123218500
WY
Enumeration date
03/29/2007
Last updated
04/28/2009
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