Organization
JB KENOSHA HEALTHCARE LLC
Active
Other names
Kenosha Estates Rehab & Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN LEVINSON (MANAGER)
(847) 675-6666
Entity
Organization
Contact information
Practice address
1703 60TH ST, KENOSHA, WI 53140-3986
(262) 658-4125
(262) 658-2196
Mailing address
1703 60TH ST, KENOSHA, WI 53140-3986
(262) 658-4125
(262) 658-2196
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
WI
Other
Enumeration date
10/07/2014
Last updated
10/30/2020
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