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Organization
MARYWOOD CONVALESCENT CENTER
Active
Organization
MARYWOOD CONVALESCENT CENTER
Active
Parent organization
CATHOLIC RESIDENTIAL SERVICES, INC.
Other names
Catholic Residential Services, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC RESIDENTIAL SERVICES, INC.
Authorized official
KEVIN J RYMANOWSKI (SVP FINANCE)
(763) 689-1162
Entity
Organization
Contact information
Practice address
1821 N 4TH AVE, WAUSAU, WI 54401-1910
(715) 675-9451
(715) 675-4051
Mailing address
1995 E RUM RIVER DR S, CAMBRIDGE, MN 55008-2656
(763) 689-1162
(763) 689-6117
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2674
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20109300
—
WI
Enumeration date
05/31/2005
Last updated
12/07/2016
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