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Organization
ORION PRESCOTT LLC
Active
Organization
ORION PRESCOTT LLC
Active
Other names
Prescott Nursing and Rehabilitation Community
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LOCKHART (CHIEF ACCOUNTING OFFICER)
(614) 416-0600
Entity
Organization
Contact information
Practice address
1505 ORRIN RD, PRESCOTT, WI 54021-1074
(715) 262-5661
Mailing address
5000 HAKES DR, SUITE 600, NORTON SHORES, MI 49441-5574
(231) 799-6870
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3249
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20199500
—
WI
Enumeration date
01/31/2008
Last updated
02/13/2014
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