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Organization
KINDRED
Active
Organization
KINDRED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER DUMMER PT (PROGRAM DIRECTOR)
(262) 763-9531
Entity
Organization
Contact information
Practice address
677 E STATE ST, BURLINGTON, WI 53105-1639
(262) 763-9531
(262) 763-7579
Mailing address
677 E STATE ST, BURLINGTON, WI 53105-1639
(262) 763-9531
(262) 763-7579
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1781-27
WI
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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