Provider Demographics
NPI:1912051152
Name:WESTERN NURSING
Entity Type:Organization
Organization Name:WESTERN NURSING
Other - Org Name:OPEN DOORS INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-687-7757
Mailing Address - Street 1:911 EDWARDS ST
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82718-6403
Mailing Address - Country:US
Mailing Address - Phone:307-687-7757
Mailing Address - Fax:307-685-1284
Practice Address - Street 1:911 EDWARDS ST
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82718-6403
Practice Address - Country:US
Practice Address - Phone:307-687-7757
Practice Address - Fax:307-685-1284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY251C00000X320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities