Organization
GNP COUNTRY ESTATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA GLEBKE NP (MEMBER)
(715) 213-6379
Entity
Organization
Contact information
Practice address
1610 25TH AVE S, WISCONSIN RAPIDS, WI 54495-4820
(715) 423-1610
(715) 423-1611
Mailing address
1610 25TH AVE S, WISCONSIN RAPIDS, WI 54495-4820
(715) 423-1610
(715) 423-1611
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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