Organization
E WAUSAU SNF OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM FOLLMAN (OWNER)
(715) 842-2028
Entity
Organization
Contact information
Practice address
1010 E WAUSAU AVE, WAUSAU, WI 54403-3101
(715) 842-2028
(715) 254-9516
Mailing address
1017 W GLEN OAKS LN STE 162, MEQUON, WI 53092-3371
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
10/16/2023
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