Organization
WISCONSIN ILLINOIS SENIOR HOUSING INC.
Active
Other names
Edgerton Care Center Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SHERMAN (CHIEF OPERATING OFFICER)
(303) 980-0611
Entity
Organization
Contact information
Practice address
313 STOUGHTON RD, EDGERTON, WI 53534-1132
(608) 884-1330
(608) 884-1331
Mailing address
313 STOUGHTON RD, EDGERTON, WI 53534-1132
(608) 884-1330
(608) 884-1331
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2235
WI
Other
Enumeration date
11/15/2012
Last updated
05/13/2020
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