Organization
FIVE TRAILS ADULT DAY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JULIE ANN KUKUS (DIRECTOR)
(307) 234-1102
Entity
Organization
Contact information
Practice address
1514 E 12TH ST, B 1, CASPER, WY 82601
(307) 234-1102
(307) 234-1102
Mailing address
1514 E 12TH ST, B 1, CASPER, WY 82601
(307) 234-1102
(307) 234-1102
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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