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Organization
WOODSTOCK HEALTH CARE LLC
Active
Organization
WOODSTOCK HEALTH CARE LLC
Active
Other names
Waters Edge Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUDAH BIENSTOCK (CONSULTANT)
(314) 631-3000
Entity
Organization
Contact information
Practice address
3415 SHERIDAN RD, KENOSHA, WI 53140-1924
(262) 657-6175
(262) 653-8441
Mailing address
3415 SHERIDAN RD, KENOSHA, WI 53140-1924
(262) 657-6175
(262) 653-8441
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
WI
Other
Enumeration date
03/09/2014
Last updated
12/02/2015
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