Organization
FIVE STAR QUALITY CARE-WY LLC
Active
Parent organization
FIVE STAR QUALITY CARE-WY LLC
Other names
Laramie Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR QUALITY CARE-WY LLC
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
503 S 18TH ST, LARAMIE, WY 82070-4303
(307) 742-3728
(307) 721-2002
Mailing address
400 CENTRE ST, NEWTON, MA 02458-2094
(617) 796-8387
(617) 796-8375
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
06-123
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115810400
—
WY
Enumeration date
05/25/2006
Last updated
03/28/2019
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