Organization
EMG CASPER PP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP GISI (PRESIDING MEMBER)
(701) 741-6230
Entity
Organization
Contact information
Practice address
1930 E 12TH ST, CASPER, WY 82601-4075
(701) 738-2000
(701) 757-4701
Mailing address
2850 24TH AVE S, STE 201, GRAND FORKS, ND 58201-5831
(701) 738-2000
(701) 757-4701
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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