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Organization
MARKESAN RESIDENT HOME INCORPORATED
Active
Organization
MARKESAN RESIDENT HOME INCORPORATED
Active
Other names
MARKESAN RESIDENT HOME, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM OWNBY (ADMINISTRATOR)
(920) 398-2751
Entity
Organization
Contact information
Practice address
1130 N MARGARET ST, MARKESAN, WI 53946-8516
(920) 398-2751
(920) 398-3937
Mailing address
1130 N MARGARET ST, MARKESAN, WI 53946-8516
(920) 398-2751
(920) 398-3937
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3184
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20120200
—
WI
Enumeration date
07/07/2005
Last updated
01/19/2017
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