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Organization
GILMAN CARE CENTER LLC
Active
Organization
GILMAN CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CHARLES HALBLEIB NHA (MANAGING MEMBER, LLC)
(715) 877-2411
Entity
Organization
Contact information
Practice address
600 WEST HICKORY ST, GILMAN, WI 54433
(715) 447-8217
(715) 447-5775
Mailing address
600 WEST HICKORY ST, GILMAN, WI 54433
(715) 447-8217
(715) 447-5775
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
TO BE ISSUED
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TO BE ISSUED
—
WI
Enumeration date
08/22/2007
Last updated
08/22/2007
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