Organization
LINDENGROVE COMMUNITIES LLC
Active
Other names
LindenGrove Mukwonago
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CHWALA (CFO)
(920) 206-4983
Entity
Organization
Contact information
Practice address
837 E VETERANS WAY, MUKWONAGO, WI 53149-1013
(262) 363-6830
(262) 363-6837
Mailing address
1045 HILL ST, WATERTOWN, WI 53098-3015
(920) 261-0400
(920) 261-4840
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5002
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244176
—
WI
05
—
20182200
—
WI
Enumeration date
10/20/2006
Last updated
07/28/2023
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