Organization
WILLOWDALE NURSING & REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE NETHING (BUSINESS OFFICE MANGAER)
(920) 898-5706
Entity
Organization
Contact information
Practice address
1610 HOOVER ST, NEW HOLSTEIN, WI 53061-1636
(920) 898-5706
Mailing address
1610 HOOVER ST, NEW HOLSTEIN, WI 53061-1636
(920) 898-5706
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5647
WI
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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