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Organization

STATE OF WISCONSIN

Active
Other names
The Wisconsin Veterans Home at Chippewa Falls
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY L SERVATIUS (HOMES DIVISION ADMINISTRATOR)
(715) 258-4251
Entity
Organization

Contact information

Practice address
2175 E PARK AVE, CHIPPEWA FALLS, WI 54729-3511
(715) 720-6775
Mailing address
2175 E PARK AVE, CHIPPEWA FALLS, WI 54729-3511

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5039
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100028125
WI
Enumeration date
11/07/2012
Last updated
01/06/2026
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