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Organization
BORNEMANN OPERATING COMPANY, LLC
Active
Organization
BORNEMANN OPERATING COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN HERATY (MEMBER)
(716) 748-7880
Entity
Organization
Contact information
Practice address
226 BORNEMANN ST, GREEN BAY, WI 54302-3502
(920) 468-8675
Mailing address
305 ELMWOOD AVE, BUFFALO, NY 14222-2203
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2963
WI
Other
Enumeration date
08/22/2014
Last updated
11/03/2016
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