Organization
ST. PAUL ELDER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE AARON MATZ COTA (COTA)
(920) 766-6020
Entity
Organization
Contact information
Practice address
316 E 14TH ST, KAUKAUNA, WI 54130-3304
(920) 766-6020
(920) 759-1937
Mailing address
316 E 14TH ST, KAUKAUNA, WI 54130-3304
(920) 766-6020
(920) 759-1937
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4606027
WI
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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