Edward Michael Tucker Jiloa

LBN: Jciloa
Edward Michael Tucker Jiloa is an health care organization with primary practice located at 1000 Erwin St , Douglas WY 82633-2914. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Jciloa can be contacted via phone (307) 331-3703, or through Tucker, Edward Michael via phone (307) 331-3703.

Contact Information

Primary practice address
1000 Erwin St Douglas WY 82633-2914
Phone: (307) 331-3703
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tucker, Edward Michael
Phone: (307) 331-3703

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1366108425
LBN Legal business name Jciloa
DBA Doing business as Edward Michael Tucker Jiloa
Authorized official Tucker, Edward Michael
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2021
Last updated Jul 2nd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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