Organization
MORROW MEMORIAL HOME FOR THE AGED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BONELLO (EXECUTIVE DIRECTOR)
(608) 269-3168
Entity
Organization
Contact information
Practice address
331 S WATER ST, SPARTA, WI 54656-1726
(608) 269-3168
Mailing address
331 S WATER ST, SPARTA, WI 54656-1726
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
440
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20157100
—
WI
Enumeration date
08/09/2005
Last updated
08/22/2020
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