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Organization

VA HEALTH CARE SYSTEM (644)

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL T FALE RN (REGISTERED NURSE)
(920) 915-1499
Entity
Organization

Contact information

Practice address
911 SKYVIEW AVE, LITTLE CHUTE, WI 54140-2627
(920) 915-1499
Mailing address
911 SKYVIEW AVE, LITTLE CHUTE, WI 54140-2627
(920) 915-1499

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
159500-30
WI

Other

Enumeration date
03/09/2010
Last updated
03/09/2010
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