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Organization
HOMESTEAD CARE CENTER LLC
Active
Organization
HOMESTEAD CARE CENTER LLC
Active
Other names
ATRIUM POST ACUTE CARE OF NEW HOLSTEIN
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M PARKINS (CFO)
(920) 364-9754
Entity
Organization
Contact information
Practice address
1712 MONROE ST, NEW HOLSTEIN, WI 53061-1307
(920) 898-4296
(920) 898-4931
Mailing address
1726 N BALLARD RD, APPLETON, WI 54911-2444
(920) 991-9072
(920) 749-4022
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2366
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20199300
—
WI
Enumeration date
11/19/2007
Last updated
05/27/2015
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