Organization
BENEDICTINE LIVING COMMUNITY OF SPOONER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEN MEYSEMBOURG (ADMINISTRATOR/CEO)
(715) 635-1420
Entity
Organization
Contact information
Practice address
510 FIRST STREET, SPOONER, WI 54801
(715) 635-1412
(715) 635-7498
Mailing address
510 FIRST STREET, SPOONER, WI 54801
(715) 635-1412
(715) 635-7498
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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