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Organization
VILLA MARINA HEALTH AND REHABILITATION CENTER INC
Active
Organization
VILLA MARINA HEALTH AND REHABILITATION CENTER INC
Active
Other names
Chaffey Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE J KUTZ (PRESIDENT)
(715) 561-3200
Entity
Organization
Contact information
Practice address
35 NORTH 28TH STREET, SUPERIOR, WI 54880-5557
(715) 392-3300
(715) 392-9660
Mailing address
300 VILLA DRIVE, HURLEY, WI 54534-1523
(715) 561-3200
(715) 561-5556
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3215
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20102400
—
WI
Enumeration date
06/13/2005
Last updated
09/20/2021
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