Provider Demographics
NPI:1649567710
Name:OPSAL NURSING, LLC
Entity Type:Organization
Organization Name:OPSAL NURSING, LLC
Other - Org Name:OPSAL NURSING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRITNEE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:OPSAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:307-696-7684
Mailing Address - Street 1:1906 HARVEST MOON DR
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82718-7878
Mailing Address - Country:US
Mailing Address - Phone:307-696-7684
Mailing Address - Fax:
Practice Address - Street 1:1906 HARVEST MOON DR
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82718-7878
Practice Address - Country:US
Practice Address - Phone:307-696-7684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY27525314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility