Organization
ESH ENTERPRISES LLC
Active
Other names
Swifthaven Community
Organization subpart
No
Provider details
NPI number
Authorized official
ANN E SIMONSON (OWNER)
(715) 598-7040
Entity
Organization
Contact information
Practice address
124 N HENRY ST, EDGERTON, WI 53534-1868
(608) 884-2828
(608) 884-2820
Mailing address
2850 MONARCH CT, ALTOONA, WI 54720-2642
(715) 598-7040
(715) 598-7042
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
0013881
WI
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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