Organization
IOLA LIVING ASSISTANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY WILLIAM LOESER MA NHA (CEO)
(715) 445-2412
Entity
Organization
Contact information
Practice address
185 S CHET KRAUSE DR, IOLA, WI 54945-9300
(715) 445-2412
Mailing address
185 S CHET KRAUSE DR, IOLA, WI 54945-9300
(715) 445-2141
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1199
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20150400
—
WI
Enumeration date
10/10/2005
Last updated
08/22/2020
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