Organization
POLK COUNTY-DEPT OF ADMINISTRATION
Active
Parent organization
POLK COUNTY-DEPT OF ADMINISTRATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
POLK COUNTY-DEPT OF ADMINISTRATION
Authorized official
DANA REESE LNHA (NURSING HOME ADMINISTRATOR)
(715) 268-7107
Entity
Organization
Contact information
Practice address
220 SCHOLL CT, AMERY, WI 54001-1440
(715) 268-7107
(715) 268-6167
Mailing address
220 SCHOLL CT, AMERY, WI 54001-1440
(715) 268-7107
(715) 268-6167
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
2376
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20133000
—
WI
Enumeration date
05/19/2006
Last updated
12/09/2024
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