# VILLA MARINA HEALTH AND REHABILITATION CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chaffey Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134123573
- **Authorized official:** MR. LAWRENCE J KUTZ (PRESIDENT)
- **Authorized official phone:** (715) 561-3200

## Contact information

- **Practice address:** 35 NORTH 28TH STREET, SUPERIOR, WI 54880-5557
- **Practice address phone:** (715) 392-3300
- **Practice address fax:** (715) 392-9660
- **Mailing address:** 300 VILLA DRIVE, HURLEY, WI 54534-1523
- **Mailing address phone:** (715) 561-3200
- **Mailing address fax:** (715) 561-5556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 3215 | WI | Yes |

## Other

- **Enumeration date:** 06/13/2005
- **Last updated:** 09/20/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 20102400 | — | WI |