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Organization
FMG 3107 WESTHILL DRIVE WISCONSIN LLC
Active
Organization
FMG 3107 WESTHILL DRIVE WISCONSIN LLC
Active
Other names
Wausau Manor
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEATING (AUTHORIZED OFFICIAL)
(414) 908-8058
Entity
Organization
Contact information
Practice address
3107 WESTHILL DR, WAUSAU, WI 54401-3774
(715) 842-0575
Mailing address
3107 WESTHILL DR, WAUSAU, WI 54401-3774
(715) 842-0575
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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