Organization
FMG WEST HART ROAD WISCONSIN LLC
Active
Other names
Beloit Health & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEATING (AUTHORIZED OFFICIAL)
(414) 908-8058
Entity
Organization
Contact information
Practice address
1905 W HART RD, BELOIT, WI 53511-2230
(608) 365-2554
(608) 365-0198
Mailing address
1905 W HART RD, BELOIT, WI 53511-2230
(608) 365-2554
(608) 365-0198
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/15/2015
Last updated
01/16/2015
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