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Organization
DYCORA TRANSITIONAL HEALTH - WATERTOWN LLC
Active
Organization
DYCORA TRANSITIONAL HEALTH - WATERTOWN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HAWKINS (EXECUTIVE)
(920) 261-9220
Entity
Organization
Contact information
Practice address
121 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 261-9220
Mailing address
121 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 261-9220
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2696
WI
Other
Enumeration date
11/04/2016
Last updated
01/25/2018
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