NPI 1578035440
Casper Independent Living, LLC
Practice location
- Address
- 77 Gardenia St, Casper, WY 82604-3803
- Phone
- (307) 234-0572
- Fax
- (307) 237-0071
- Mailing address
- 4601 NE 77th Ave STE 300, Vancouver, WA 98662-6736
Authorised official
- Name
- Michael J. Miller
- Title
- Cfo and Assistant Manager
- Phone
- (360) 892-6628
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1578035440
- Entity type
- Organization
- NPI issued
- 17 Dec 2018
- Record last updated
- 17 Dec 2018
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.