Organization
BEECHWOOD REST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT R RAMMER (NHA)
(920) 994-4717
Entity
Organization
Contact information
Practice address
N1495W HIGHWAY A, KEWASKUM, WI 53040-9205
(920) 994-4717
(920) 994-4932
Mailing address
N1495W HIGHWAY A, KEWASKUM, WI 53040-9205
(920) 994-4717
(920) 994-4932
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0956
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20008600
—
WI
Enumeration date
04/12/2007
Last updated
08/22/2020
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