# FIR LANE TERRACE CONVALESCENT CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Madison Health and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023048733
- **Authorized official:** MS. DONNA J MAASSEN (DIRECTOR OF COMPLIANCE)
- **Authorized official phone:** (414) 908-8119

## Contact information

- **Practice address:** 131 MEADOWLARK DR, RICHMOND, KY 40475-2235
- **Practice address phone:** (859) 623-3564
- **Practice address fax:** (859) 625-3070
- **Mailing address:** 111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
- **Mailing address phone:** (414) 908-8119
- **Mailing address fax:** (414) 908-7105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 08/25/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12505178 | — | KY |