Organization
STRAWBERRY LANE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD STOLL (MANAGER)
(917) 836-0436
Entity
Organization
Contact information
Practice address
130 STRAWBERRY LN, WISCONSIN RAPIDS, WI 54494-2156
(715) 424-1600
Mailing address
170 BROADWAY, LAWRENCE, NY 11559-1731
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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