Organization
MJCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BECK (REHAB DIRECTOR)
(715) 445-2412
Entity
Organization
Contact information
Practice address
325 E. IOLA ST., IOLA, WI 54945
(715) 445-2412
Mailing address
325 E. IOLA ST., IOLA, WI 54945
(715) 445-2412
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
2194-19
WI
320700000X
Physical Disabilities Residential Treatment Facility
Primary
2194-19
WI
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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