Organization
GILMAN CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CHARLES HALBLEIB NHA (MANAGING MEMBER, LLC)
(715) 877-2411
Entity
Organization
Contact information
Practice address
600 WEST HICKORY ST, GILMAN, WI 54433
(715) 447-8217
(715) 447-5775
Mailing address
600 WEST HICKORY ST, GILMAN, WI 54433
(715) 447-8217
(715) 447-5775
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
TO BE ISSUED
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TO BE ISSUED
—
WI
Enumeration date
08/22/2007
Last updated
08/22/2007
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