Organization
DYCORA TRANSITIONAL HEALTH - FORT ATKINSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HAWKINS (EXECUTIVE)
(920) 563-5533
Entity
Organization
Contact information
Practice address
430 WILCOX ST, FORT ATKINSON, WI 53538-1968
(920) 563-5533
Mailing address
430 WILCOX ST, FORT ATKINSON, WI 53538-1968
(920) 563-5533
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2683
WI
Other
Enumeration date
11/04/2016
Last updated
01/25/2018
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