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Mrs. Lacey Renee Debusk
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Casper, Wyoming
NPI 1295362960

Lacey Renee Debusk is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Casper, WY. Lacey Renee Debusk practices in Casper, WY. The NPI Number for Lacey Renee Debusk is 1295362960 and holds a License No. (Wyoming).

The current practice location address for Lacey Renee Debusk is 337 Trigood Dr, Casper, WY and can be reached out via phone at 307-251-7568.

Location: 337 Trigood Dr, Casper, WY, 82609-2227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295362960
Provider Name
Lacey Renee Debusk
Credential
Provider Entity Type
Individual
Gender
Female
Address
337 Trigood Dr, Casper, WY, 82609-2227
Phone Number
307-251-7568
Fax Number
Provider Enumeration Date
03/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
337 Trigood Dr
City
Casper
State
Wyoming
Zip
82609-2227
Phone Number
307-251-7568
Fax Number
person
Provider Business Mailing Address Details
Address
337 Trigood Dr
City
Casper
State
Wyoming
Zip
82609-2227
Phone Number
307-251-7568
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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