Organization
MULDER HEALTH CARE FACILITY, INC
Active
Other names
Mulder Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD GENE GILBERTSON NURSING HOME ADMINIS (NURSING HOME ADMINISTRATOR)
(608) 786-1600
Entity
Organization
Contact information
Practice address
713 N LEONARD ST, WEST SALEM, WI 54669-0850
(608) 786-1600
(608) 786-0740
Mailing address
713 N LEONARD ST, PO BOX 850, WEST SALEM, WI 54669-0850
(608) 786-1600
(608) 786-0740
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20137200
—
WI
Enumeration date
09/08/2005
Last updated
08/22/2020
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