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1114306172
DIVERSICARE OF LARAMIE, LLC
LARAMIE, WY
NPI
1114306172
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Entity Type
Organization
Authorized Contact
KELLY J GILL
President & CEO
615-771-7575
Organization Subpart ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2015-05-23
Last Update Date
2015-05-23
Business Address
DIVERSICARE OF LARAMIE, LLC
503 S 18TH ST
LARAMIE, WY 82070-4303
Phone number: 307-742-3728
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Mailing Address
DIVERSICARE OF LARAMIE, LLC
503 S 18TH ST
LARAMIE, WY 82070-4303
Phone number: 307-742-3728
Copy
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