Organization
EXTENDICARE HOMES, INC.
Active
Other names
All About Life Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA J MAASSEN (PRIVACY OFFICER)
(414) 908-8119
Entity
Organization
Contact information
Practice address
115 E ARNDT ST, FOND DU LAC, WI 54935-2461
(920) 923-7040
Mailing address
111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
(414) 908-8119
(414) 908-7105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20115400
—
WI
Enumeration date
05/11/2006
Last updated
04/07/2008
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