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Organization

KARMENTA CENTER, LLC

Active
Other names
Karmenta Center
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLASS B. SMITH (PRESIDENT)
(615) 647-9004
Entity
Organization

Contact information

Practice address
4502 MILWAUKEE ST, MADISON, WI 53714-2133
(609) 249-2137
(859) 281-5150
Mailing address
110 GLANCY ST STE 114, GOODLETTSVILLE, TN 37072-2314

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20191800
WI
Enumeration date
09/15/2005
Last updated
10/11/2018
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