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Organization
IMR OAK CREEK OPCO, LLC
Active
Organization
IMR OAK CREEK OPCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM FIELDS (CEO)
(833) 944-6483
Entity
Organization
Contact information
Practice address
2700 WEST HONADEL BOULEVARD, OAK CREEK, WI 53154
(414) 435-2005
Mailing address
1550 N NORTHWEST HWY STE 430, PARK RIDGE, IL 60068-1411
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
07/15/2020
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