Organization
MARKESAN RESIDENT HOME INCORPORATED
Active
Other names
MARKESAN RESIDENT HOME, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM OWNBY (ADMINISTRATOR)
(920) 398-2751
Entity
Organization
Contact information
Practice address
1130 N MARGARET ST, MARKESAN, WI 53946-8516
(920) 398-2751
(920) 398-3937
Mailing address
1130 N MARGARET ST, MARKESAN, WI 53946-8516
(920) 398-2751
(920) 398-3937
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3184
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20120200
—
WI
Enumeration date
07/07/2005
Last updated
01/19/2017
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