Organization
FIVE STAR QUALITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY B BRYLSKI (CERTIFIED OCCUPATIONAL THERAPY ASSI)
(715) 823-7194
Entity
Organization
Contact information
Practice address
70 GREENTREE RD, CLINTONVILLE, WI 54929-1009
(715) 823-2194
(715) 823-1306
Mailing address
70 GREENTREE RD, CLINTONVILLE, WI 54929-1009
(715) 823-2194
(715) 823-1306
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
211-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40701600
—
WI
Enumeration date
06/01/2007
Last updated
08/13/2008
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