Organization
CASPER OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EPHRAM LAHASKY (MEMBER)
(646) 772-3668
Entity
Organization
Contact information
Practice address
4305 S POPLAR ST, CASPER, WY 82601-6106
(307) 237-2561
Mailing address
34 LORD AVE, LAWRENCE, NY 11559-1324
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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