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Organization
PLUM CITY CARE CENTER, INC.
Active
Organization
PLUM CITY CARE CENTER, INC.
Active
Other names
Eau Claire Manor, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
AMY FETZER (ADMINISTRATOR)
(715) 647-2401
Entity
Organization
Contact information
Practice address
301 CHERRY AVE W, PLUM CITY, WI 54761-9781
(715) 647-2401
Mailing address
301 CHERRY AVE W, PLUM CITY, WI 54761-9781
(715) 647-2401
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3171
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20176400
—
WI
Enumeration date
05/23/2007
Last updated
08/22/2020
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