Casper Opco LLC
Skilled Nursing Facility in Casper, WY. Organization (NPI-2).
NPI number1750840468
StatusActive
Last updated in NPPESMar 13, 2019
Details
- NPI
- 1750840468
- Entity type
- Organization (NPI-2)
- Legal business name
- Casper Opco LLC
- Organization subpart
- No
- Enumeration date
- Mar 13, 2019
- Last updated
- Mar 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
4305 S Poplar StCasper, WY 82601-6106
Phone 307-237-2561
Mailing address
34 Lord AveLawrence, NY 11559-1324
Authorized official
Ephram Lahasky
Member
6467723668
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