NPI 1295362960

Lacey Renee Debusk

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Casper, WY

Practice location

Address: 337 Trigood Dr, Casper, WY 82609-2227
Phone: (307) 251-7568

Registered specialties (3)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Homemaker

Nursing Service Related Providers Taxonomy 376J00000X

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Respite Care

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1295362960
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2020
Record last updated: 24 Mar 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.