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Organization
BEDROCK HCS AT ELMWOOD AVE WI OPCO LLC
Active
Organization
BEDROCK HCS AT ELMWOOD AVE WI OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY KOHLS (OPERATIONS)
(414) 750-6987
Entity
Organization
Contact information
Practice address
6201 ELMWOOD AVE, MIDDLETON, WI 53562-3319
(608) 831-8300
Mailing address
150 OBERLIN AVE N STE 6, LAKEWOOD, NJ 08701-4535
(732) 800-6005
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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