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Organization
GREENFIELD REHAB AGENCY UNC.
Active
Organization
GREENFIELD REHAB AGENCY UNC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY JO HAVERKORN PTA (PHYSICAL THERAPIST ASSISTANT)
(920) 388-4111
Entity
Organization
Contact information
Practice address
1308 LINCOLN ST, KEWAUNEE, WI 54216-1606
(920) 388-4111
Mailing address
N5742 CTY C, CASCO, WI 54205
(920) 837-2370
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
223019
WI
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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