Organization
WILLOW RIDGE HEALTHCARE FACILITIES, LLC
Active
Other names
Willow Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN M. MARSH (VICE PRESIDENT OPERATIONS)
(608) 225-2516
Entity
Organization
Contact information
Practice address
400 DERONDA ST, AMERY, WI 54001-1404
(715) 268-8171
Mailing address
400 DERONDA ST, AMERY, WI 54001-1404
(715) 268-8171
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2642
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20186400
—
WI
Enumeration date
01/26/2007
Last updated
08/22/2020
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