NPI 1467585034

Park Place Assisted Living LLC

Organisation Assisted Living Facility Casper, WY

Practice location

Address: 1930 E 12th St, Casper, WY 82601-4075
Phone: (307) 265-2273
Fax: (503) 485-1279
Mailing address: 3723 Fairview Industrial Dr SE Suite 270, Salem, OR 97302-1177

Authorised official

Name: Jon M Harder
Title: Manager
Phone: (503) 485-4600

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1467585034
Entity type: Organization
NPI issued: 13 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.