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Organization
WISCONSIN ILLINOIS SENIOR HOUSING INC.
Active
Organization
WISCONSIN ILLINOIS SENIOR HOUSING INC.
Active
Other names
Edgerton Care Center Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SHERMAN (CHIEF OPERATING OFFICER)
(303) 980-0611
Entity
Organization
Contact information
Practice address
313 STOUGHTON RD, EDGERTON, WI 53534-1132
(608) 884-1330
(608) 884-1331
Mailing address
313 STOUGHTON RD, EDGERTON, WI 53534-1132
(608) 884-1330
(608) 884-1331
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2235
WI
Other
Enumeration date
11/15/2012
Last updated
05/13/2020
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