Organization
ASPIRUS LILLIAN KERR HEALTHCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY D ELLIS NHA (EXECUTIVE DIRECTOR)
(715) 545-3984
Entity
Organization
Contact information
Practice address
2383 STATE HIGHWAY 17, PHELPS, WI 54554-9472
(715) 545-3984
(715) 545-3412
Mailing address
2383 STATE HIGHWAY 17, PHELPS, WI 54554-9472
(715) 545-3984
(715) 545-3412
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2042154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42704800
—
WI
Enumeration date
01/30/2007
Last updated
08/22/2020
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