Organization
BELOIT NURSING AND REHAB, LLC
Active
Other names
Edenbrook of Beloit
Organization subpart
No
Provider details
NPI number
Authorized official
ROSTISLAV PUKSHANSKY (CORPORATE MANAGER)
(773) 825-3336
Entity
Organization
Contact information
Practice address
1905 W HART RD, BELOIT, WI 53511-2230
(608) 365-2554
Mailing address
8170 MCCORMICK BLVD STE 112, SKOKIE, IL 60076-2914
(773) 825-3336
(847) 423-6991
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
WI
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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