Organization
EXTENDICARE HOMES, INC.
Active
Other names
Oakwood Villa
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA JO MAASSEN (DIRECTOR OF COMPLIANCE)
(414) 908-8119
Entity
Organization
Contact information
Practice address
2512 NEW PINE DR, ALTOONA, WI 54720-1378
(715) 833-0400
(715) 833-0546
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
—
20176100
—
WI
Enumeration date
11/17/2006
Last updated
04/07/2008
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