Organization
ST PAUL ELDER SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MILLER (MANAGEMENT)
(920) 766-6020
Entity
Organization
Contact information
Practice address
316 E 14TH ST, KAUKAUNA, WI 54130-3304
(920) 766-6020
Mailing address
316 E 14TH ST, KAUKAUNA, WI 54130-3304
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
03/05/2010
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