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Organization
KINDRED NURSING AND REHAB KENOSHA NORTH
Active
Organization
KINDRED NURSING AND REHAB KENOSHA NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY GRATZ (PROGRAM DIRECTOR)
(262) 653-2941
Entity
Organization
Contact information
Practice address
3415 SHERIDAN RD, KENOSHA, WI 53140-1924
(262) 653-2941
Mailing address
3415 SHERIDAN RD, KENOSHA, WI 53140-1924
(262) 653-2941
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1607-019
WI
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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