Organization
KEWAUNEE CARE CENTER LLC
Active
Other names
D/B/A ATRIUM POST ACUTE CARE OF KEWAUNEE
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M PARKINS (CFO)
(920) 364-9754
Entity
Organization
Contact information
Practice address
1308 LINCOLN ST, KEWAUNEE, WI 54216-1606
(920) 388-4111
(920) 388-3955
Mailing address
1726 N BALLARD RD, APPLETON, WI 54911-2444
(920) 991-9072
(920) 749-4021
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3198
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20189400
—
WI
Enumeration date
08/23/2005
Last updated
05/20/2015
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