Organization
BLOOMER NURSING AND REHAB LLC
Active
Other names
Meadowbrook at Bloomer
Organization subpart
No
Provider details
NPI number
Authorized official
ROSTISLAV PUKSHANSKY (PARTNER)
(847) 942-7575
Entity
Organization
Contact information
Practice address
1840 PRIDDY ST, BLOOMER, WI 54724-1546
(715) 568-2503
Mailing address
8170 MCCORMICK BLVD STE 119, SKOKIE, IL 60076-2961
(847) 942-7575
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/15/2019
Last updated
02/03/2022
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