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Organization
JMH ENTERPRISES, LLC
Active
Organization
JMH ENTERPRISES, LLC
Active
Other names
Crystal Lake Manor
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CHARLES HALBLEIB (MANAGING MEMBER LLC)
(715) 877-2411
Entity
Organization
Contact information
Practice address
208 ELM STREET, STRUM, WI 54770-0009
(715) 695-2611
(715) 695-3185
Mailing address
PO BOX 9, STRUM, WI 54770-0009
(715) 695-2611
(715) 695-3185
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2205
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20195800
—
WI
Enumeration date
01/31/2007
Last updated
08/22/2020
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