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Organization
SIMON WISCONSIN RAPIDS PROPERTIES LLC
Active
Organization
SIMON WISCONSIN RAPIDS PROPERTIES LLC
Active
Other names
Strawberry Lane Medical and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACEY PAUL ROGERS (CHIEF FINANCIAL OFFICER)
(502) 429-8062
Entity
Organization
Contact information
Practice address
130 STRAWBERRY LN, WISCONSIN RAPIDS, WI 54494-2156
(715) 424-1600
(715) 424-4817
Mailing address
7400 NEW LA GRANGE RD, SUITE 100, LOUISVILLE, KY 40222-4870
(502) 429-8062
(502) 429-5980
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3236
WI
Other
Enumeration date
10/24/2006
Last updated
12/30/2014
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