Organization
HEYDE HEALTH SYSTEM INC
Active
Other names
Eagleton Residence
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN C METTEN (EXECUTIVE VICE PRESIDENT)
(715) 726-9094
Entity
Organization
Contact information
Practice address
14135 150TH AVE, BLOOMER, WI 54724-4410
(715) 288-6311
Mailing address
14135 150TH AVE, BLOOMER, WI 54724-4410
(715) 288-6311
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11784
LICENSE
WI
Enumeration date
08/27/2008
Last updated
08/28/2008
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