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Organization

CASPER INDEPENDENT LIVING, LLC

Active
Parent organization
EMPRES WYOMING HEALTHCARE, LLC
Organization subpart
Yes

Provider details

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

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
12/17/2018
Last updated
12/17/2018
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