Organization
BARRON HEALTHCARE CENTER INC.
Active
Other names
Barron Riverside Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRANT D. THAYER (PRESIDENT)
(715) 837-1222
Entity
Organization
Contact information
Practice address
660 E BIRCH AVE, BARRON, WI 54812-9130
(715) 537-5643
Mailing address
660 E BIRCH AVE, BARRON, WI 54812-9130
(715) 537-5643
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3038
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20167400
—
WI
Enumeration date
07/15/2005
Last updated
10/29/2007
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