Organization
EXTENDICARE HEALTH FACILITIES, INC.
Active
Other names
Havencrest Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA JO MAASSEN (DIRECTOR OF COMPLIANCE)
(414) 908-8119
Entity
Organization
Contact information
Practice address
1277 COUNTRY CLUB RD, MONONGAHELA, PA 15063-1057
(724) 258-3000
(724) 258-4156
Mailing address
111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
(414) 908-8119
(414) 908-7105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/16/2006
Last updated
04/09/2008
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