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Organization

DODGE COUNTY MEDICAL FACILITIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANE ELIZABETH HOOPER (EXECUTIVE DIRECTOR)
(920) 386-3400
Entity
Organization

Contact information

Practice address
199 HOME ROAD, JUNEAU, WI 53039-1401
(920) 386-3400
(920) 386-3800
Mailing address
198 COUNTY DF, JUNEAU, WI 53039-9515
(920) 386-3400
(920) 386-4168

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2380
WI
332BX2000X
Oxygen Equipment & Supplies (DME)

Other

Enumeration date
11/15/2006
Last updated
10/02/2017
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