Organization
SENIOR MANAGEMENT INC
Active
Other names
Care and Rehab - Boscobel
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT D THAYER (PRESIDENT)
(507) 269-6815
Entity
Organization
Contact information
Practice address
207 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112
(608) 375-5463
Mailing address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112
(608) 375-5463
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100010007
—
WI
Enumeration date
02/18/2010
Last updated
12/17/2024
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