NPI 1588697742

Casper Healthcare LLC

Organisation Skilled Nursing Facility Casper, WY

Practice location

Address: 60 Magnolia, Casper, WY 82604-3801
Phone: (307) 234-9381
Fax: (307) 234-6205

Authorised official

Name: Thomas E Boerboom
Title: Chief Operating Officer
Phone: (952) 873-7907

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 10216 (WY)

Other Skilled Nursing Facility providers in Wyoming →

Registry record

NPI: 1588697742
Entity type: Organization
NPI issued: 9 Jul 2006
Record last updated: 8 May 2012

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.