Organization
WAUNAKEE MANOR HCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE J DENNIS PT (REHAB DIRECTOR)
(608) 849-5016
Entity
Organization
Contact information
Practice address
801 S KLEIN DR, WAUNAKEE, WI 53597-1575
(608) 849-5016
(608) 850-6868
Mailing address
801 S KLEIN DR, WAUNAKEE, WI 53597-1575
(608) 849-5016
(608) 850-6868
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3247026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40482300
—
WI
Enumeration date
09/09/2008
Last updated
09/09/2008
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