# MORROW MEMORIAL HOME FOR THE AGED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053312348
- **Authorized official:** MICHAEL BONELLO (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (608) 269-3168

## Contact information

- **Practice address:** 331 S WATER ST, SPARTA, WI 54656-1726
- **Practice address phone:** (608) 269-3168
- **Mailing address:** 331 S WATER ST, SPARTA, WI 54656-1726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 440 | WI | Yes |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 20157100 | — | WI |