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Organization
FMG 26TH AVENUE WISCONSIN LLC
Active
Organization
FMG 26TH AVENUE WISCONSIN LLC
Active
Other names
Monroe Manor Nursing & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEATING (AUTHORIZED OFFICIAL)
(414) 908-8058
Entity
Organization
Contact information
Practice address
516 26TH AVE, MONROE, WI 53566-1531
(608) 325-9141
(608) 329-6594
Mailing address
516 26TH AVE, MONROE, WI 53566-1531
(608) 325-9141
(608) 329-6594
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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