Organization
ONEIDA NATION
Active
Other names
Anna John Resident Centered Care Community
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA DANFORTH RN, BSN (OPERATIONS DIRECTOR)
(920) 869-2711
Entity
Organization
Contact information
Practice address
2901 S OVERLAND RD, ONEIDA, WI 54155-8959
(920) 869-2797
Mailing address
PO BOX 365, ONEIDA, WI 54155-0365
(920) 869-2797
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2553
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20101600
—
WI
Enumeration date
12/11/2006
Last updated
12/03/2020
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