Organization
ALGOMA MEDICAL CENTER
Active
Other names
Algoma Medical Center & LTC
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE M BRANDT N.H.A., M.B.A. (NURSING HOME ADMINISTRATOR)
(920) 487-5511
Entity
Organization
Contact information
Practice address
1510 FREMONT ST, ALGOMA, WI 54201-1948
(920) 487-5511
(920) 487-2668
Mailing address
1510 FREMONT ST, ALGOMA, WI 54201-1948
(920) 487-5511
(920) 487-2668
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2952
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20162700
—
WI
Enumeration date
11/21/2005
Last updated
12/07/2011
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