Organization
EDEN REHABILITATION SUITES AND GREEN HOUSE HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A. KERN BBA, MBA, CPA (CFO/TREASURER)
(920) 232-5220
Entity
Organization
Contact information
Practice address
3151 EDEN COURT, OSHKOSH, WI 54904
(920) 651-4000
(920) 651-4001
Mailing address
225 N. EAGLE STREET, OSHKOSH, WI 54902-4125
(920) 235-4653
(920) 235-2771
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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