Organization
THEDACARE MEDICAL CENTER - BERLIN, INC.
Active
Other names
JULIETTE MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FLETT (CFO)
(920) 454-4013
Entity
Organization
Contact information
Practice address
482 OAK ST, BERLIN, WI 54923-1204
(920) 361-3092
(920) 361-3438
Mailing address
482 OAK ST, BERLIN, WI 54923-1204
(920) 361-3092
(920) 361-3438
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1102
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20126400
—
WI
Enumeration date
01/29/2007
Last updated
01/03/2024
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