LACEY R. DEBUSK – NPI #1295362960
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

LACEY DEBUSK is a community based residential treatment facility located in CASPER, WY. NPPES has assigned the NPI number 1295362960 to LACEY DEBUSK on March 24, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name LACEY RENEE PRILL. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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NPI Profile for
LACEY R. DEBUSK

NPI Number
1295362960
Enumeration Date

(more than 6 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LACEY R. DEBUSK
Former Name: LACEY RENEE PRILL
Primary location
337 TRIGOOD DR
CASPER, WY 82609-2227
Phone: (307) 251-7568 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Mar 24, 2020

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Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.