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MRS. LACEY RENEE DEBUSK NPI 1295362960


NPI Information

NPI: 1295362960
Provider Name: MRS. LACEY RENEE DEBUSK
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Individual
Address:
337 TRIGOOD DR
CASPER, WY
ZIP 82609
Phone: (307) 251-7568
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MRS. Lacey Renee Debusk is a community based residential treatment facility, intellectual and/or developmental disabilities in Casper, WY. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MRS. Lacey Renee Debusk NPI is 1295362960. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

337 TRIGOOD DR
CASPER, WY
ZIP 82609-227
Phone: (307) 251-7568

The enumeration date for this NPI number is 3/24/2020 and was last updated on 3/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1376J00000XHomemakerNo
2385H00000XRespite CareNo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.