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Organization
125 BYRD AVENUE OPERATING COMPANY, LLC
Active
Organization
125 BYRD AVENUE OPERATING COMPANY, LLC
Active
Other names
Atrium Post Acute Care of Neenah
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN P BRESLIN (MANAGER)
(973) 339-8892
Entity
Organization
Contact information
Practice address
125 BYRD AVE, NEENAH, WI 54956-4015
(920) 725-2714
(920) 725-5085
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
3245
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700242161
—
WI
Enumeration date
01/14/2016
Last updated
04/05/2016
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