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Organization
VILLAGE OF PRAIRIE FARM
Active
Organization
VILLAGE OF PRAIRIE FARM
Active
Other names
Pioneer Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DUHR (CEO)
(715) 832-3003
Entity
Organization
Contact information
Practice address
530 RIVER AVENUE SOUTH, PRAIRIE FARM, WI 54762
(715) 455-1178
(715) 455-1044
Mailing address
530 RIVER AVENUE SOUTH, PRAIRIE FARM, WI 54762
(715) 455-1178
(715) 455-1044
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1056
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20156100
—
WI
Enumeration date
07/08/2005
Last updated
02/01/2023
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