Organization
PLATTE COUNTY HOSPITAL DISTRICT BOARD
Active
Parent organization
PLATTE COUNTY HOSPITAL DISTRICT BOARD
Other names
Platte County Legacy Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLATTE COUNTY HOSPITAL DISTRICT BOARD
Authorized official
JOSIE LAUCK NHA (ADMINISTRATOR)
(307) 322-7351
Entity
Organization
Contact information
Practice address
100 19TH ST, WHEATLAND, WY 82201-3162
(307) 322-7351
(307) 322-7351
Mailing address
204 15TH ST, PO BOX 1148, WHEATLAND, WY 82201
(307) 322-6406
(307) 322-4065
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10302
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128523800
—
WY
Enumeration date
10/31/2009
Last updated
04/30/2024
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