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Organization

SHEBOYGAN SENIOR COMMUNITY

Active
Other names
Rehabcare/Kindred
Organization subpart
No

Provider details

NPI number
Authorized official
JOAN KLEIST (DO)
(920) 458-2137
Entity
Organization

Contact information

Practice address
5314 GROVE RD, REEDSVILLE, WI 54230-9131
(920) 228-0464
(920) 459-0638
Mailing address
5314 GROVE RD, REEDSVILLE, WI 54230-9131
(920) 228-0464
(920) 459-0638

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4640-27
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
526538
WI
Enumeration date
04/15/2013
Last updated
04/15/2013
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