Organization
VILLA MARINA HEALTH AND REHABILITATION CENTER INC
Active
Other names
Chaffey Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE J KUTZ (PRESIDENT)
(715) 561-3200
Entity
Organization
Contact information
Practice address
35 NORTH 28TH STREET, SUPERIOR, WI 54880-5557
(715) 392-3300
(715) 392-9660
Mailing address
300 VILLA DRIVE, HURLEY, WI 54534-1523
(715) 561-3200
(715) 561-5556
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3215
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20102400
—
WI
Enumeration date
06/13/2005
Last updated
09/20/2021
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