Organization
LAFAYETTE COUNTY
Active
Other names
Lafayette Manor
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE M. CHIKOWSKI (ADMINISTRATOR)
(608) 776-4472
Entity
Organization
Contact information
Practice address
719 E CATHERINE ST, DARLINGTON, WI 53530-1330
(608) 776-4472
(608) 776-4473
Mailing address
719 E CATHERINE ST, DARLINGTON, WI 53530-1330
(608) 776-4472
(608) 776-4473
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2448
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20153500
—
WI
Enumeration date
12/20/2005
Last updated
05/09/2013
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