Organization
WOODSTOCK HEALTH AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MANTSCH (REHAB MANAGER)
(262) 657-6175
Entity
Organization
Contact information
Practice address
3415 SHERIDAN RD, KENOSHA, WI 53140-1924
(262) 657-6175
Mailing address
3415 SHERIDAN RD, KENOSHA, WI 53140-1924
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4694-027
WI
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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