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Organization
NAZARETH FACILITIES, LLC
Active
Organization
NAZARETH FACILITIES, LLC
Active
Other names
Nazareth Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L BRISCOE (CHIEF MANAGER)
(763) 537-5700
Entity
Organization
Contact information
Practice address
814 JACKSON ST, STOUGHTON, WI 53589-1520
(608) 873-6448
(608) 873-0829
Mailing address
12900 WHITEWATER DR STE 201, HOPKINS, MN 55343-9407
(763) 537-5700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1159
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20197700
—
WI
Enumeration date
09/06/2005
Last updated
11/06/2019
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