Organization
SPOONER HEALTH SYSTEM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEN MEYSEMBOURG (NURSING HOME ADMINISTRATOR)
(715) 635-2111
Entity
Organization
Contact information
Practice address
819 ASH ST, SPOONER, WI 54801-1201
(715) 635-2111
(715) 635-7498
Mailing address
819 ASH ST, SPOONER, WI 54801-1201
(715) 635-2111
(715) 635-7498
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1164
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20133500
—
WI
Enumeration date
07/28/2006
Last updated
10/20/2008
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