NPI 1619923224

Five Star Quality Care-Wy LLC

Organisation Skilled Nursing Facility Laramie, WY

Practice location

Address: 503 S 18th St, Laramie, WY 82070-4303
Phone: (307) 742-3728
Fax: (307) 721-2002
Mailing address: 400 Centre St, Newton, MA 02458-2094

Authorised official

Name: Katherine E Potter
Title: President & Chief Executive Officer
Phone: (617) 796-8387

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 06-123 (WY)

Other Skilled Nursing Facility providers in Wyoming →

Registry record

NPI: 1619923224
Entity type: Organization
NPI issued: 25 May 2006
Record last updated: 28 Mar 2019

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.