IndividualActive
Lacey Debusk
NPI 1295362960 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Casper, WY
Provider details
- NPI number
- 1295362960
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Homemaker376J00000X
Nursing Service Related Providers
- Respite Care385H00000X
Respite Care Facility
Practice location
337 Trigood Dr
Casper, WY 82609-2227
Phone: (307) 251-7568
Approximate (ZIP-level) locationGet directions
Mailing address
337 Trigood Dr
Casper, WY 82609-2227
Registry dates
- Enumerated
- 2020-03-24
- Last updated
- 2020-03-24
- Certified
- 2020-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.