Organization
GRANCARE INC
Active
Other names
Grancare Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM L MACKENZIE (ADMINISTRATOR)
(920) 921-6800
Entity
Organization
Contact information
Practice address
517 E DIVISION ST, FOND DU LAC, WI 54935-3735
(920) 921-6800
(920) 921-6875
Mailing address
517 E DIVISION ST, FOND DU LAC, WI 54935-3735
(920) 921-6800
(920) 921-6875
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1044
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20193800
—
WI
Enumeration date
09/27/2005
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us