Organization
HETZEL CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON HETZEL (PRESIDENT)
(715) 568-2503
Entity
Organization
Contact information
Practice address
1840 PRIDDY ST, BLOOMER, WI 54724-1546
(715) 568-2503
(715) 568-2518
Mailing address
1840 PRIDDY ST, BLOOMER, WI 54724-1546
(715) 568-2503
(715) 568-2518
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2807
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20162200
—
WI
Enumeration date
10/05/2005
Last updated
08/22/2020
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