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Organization
SISTER SERVANTS OF CHRIST THE KING INC
Active
Organization
SISTER SERVANTS OF CHRIST THE KING INC
Active
Other names
Villa Loretto
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNIFER MABRY NHA (ADMINISTRATOR)
(920) 753-3211
Entity
Organization
Contact information
Practice address
N8114 COUNTY ROAD WW, MOUNT CALVARY, WI 53057-9525
(920) 753-3211
(920) 753-3100
Mailing address
N8114 COUNTY RD WW, MOUNT CALVARY, WI 53057-9607
(920) 753-3211
(920) 753-3100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1165
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20158200
—
WI
Enumeration date
06/23/2005
Last updated
06/21/2022
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