Organization
ECUMEN
Active
Other names
LO Simenstad Nursing Care Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA WISER EASTMAN MS (LICENSED NURSING HOME ADMINISTRATOR)
(715) 294-5642
Entity
Organization
Contact information
Practice address
301 RIVER ST, OSCEOLA, WI 54020-3024
(715) 294-5642
(715) 294-5785
Mailing address
301 RIVER ST, OSCEOLA, WI 54020-3024
(715) 294-5642
(715) 294-5785
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2329
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20195600
—
WI
Enumeration date
05/24/2006
Last updated
08/22/2020
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