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Organization
EDENBROOK ON ONEIDA NURSING AND REHAB LLC
Active
Organization
EDENBROOK ON ONEIDA NURSING AND REHAB LLC
Active
Other names
EDENBROOK APPLETON SOUTH
Organization subpart
No
Provider details
NPI number
Authorized official
ANYA VISTMAN (CORPORATE COUNSEL)
(773) 825-3336
Entity
Organization
Contact information
Practice address
1335 S ONEIDA ST, APPLETON, WI 54915-1351
(920) 731-6646
Mailing address
8170 MCCORMICK BLVD STE 112, SKOKIE, IL 60076-2914
(773) 825-3336
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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