Organization
WOODSTOCK HEALTH CARE LLC
Active
Other names
Waters Edge Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUDAH BIENSTOCK (CONSULTANT)
(314) 631-3000
Entity
Organization
Contact information
Practice address
3415 SHERIDAN RD, KENOSHA, WI 53140-1924
(262) 657-6175
(262) 653-8441
Mailing address
3415 SHERIDAN RD, KENOSHA, WI 53140-1924
(262) 657-6175
(262) 653-8441
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
WI
Other
Enumeration date
03/09/2014
Last updated
12/02/2015
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