Organization
PLUM CITY CARE CENTER, INC.
Active
Other names
Eau Claire Manor, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
AMY FETZER (ADMINISTRATOR)
(715) 647-2401
Entity
Organization
Contact information
Practice address
301 CHERRY AVE W, PLUM CITY, WI 54761-9781
(715) 647-2401
Mailing address
301 CHERRY AVE W, PLUM CITY, WI 54761-9781
(715) 647-2401
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3171
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20176400
—
WI
Enumeration date
05/23/2007
Last updated
08/22/2020
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