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Organization
BELOIT NURSING AND REHAB, LLC
Active
Organization
BELOIT NURSING AND REHAB, LLC
Active
Other names
Edenbrook of Beloit
Organization subpart
No
Provider details
NPI number
Authorized official
ROSTISLAV PUKSHANSKY (CORPORATE MANAGER)
(773) 825-3336
Entity
Organization
Contact information
Practice address
1905 W HART RD, BELOIT, WI 53511-2230
(608) 365-2554
Mailing address
8170 MCCORMICK BLVD STE 112, SKOKIE, IL 60076-2914
(773) 825-3336
(847) 423-6991
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
WI
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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