Individual provider · Type 1 NPI
Lacey Renee Debusk
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Casper, WY
Practice location
337 Trigood Dr
Casper, WY 82609-2227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Homemaker | 376J00000X | None listed |
| Respite Care | 385H00000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1295362960
Lacey Renee Debusk's National Provider Identifier is 1295362960, issued on Mar 24, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Casper, WY. The record was last updated on Mar 24, 2020.