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Organization

BEDROCK HCS AT BECKER DR WI OPCO LLC

Active
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Organization

BEDROCK HCS AT BECKER DR WI OPCO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY KOHLS (OPERATIONS)
(414) 750-6987
Entity
Organization

Contact information

Practice address
1700 C A BECKER DR, RACINE, WI 53406-4714
(262) 637-9751
Mailing address
150 OBERLIN AVE N STE 6, LAKEWOOD, NJ 08701-4535
(732) 800-6005

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—

Other

Enumeration date
06/01/2022
Last updated
06/01/2022
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