Organization
PEOPLEFIRST
Active
Parent organization
KINDRED
Organization subpart
Yes
Provider details
NPI number
Legal business name
KINDRED
Authorized official
CLARA GRIZZEL (COTA)
(715) 355-1340
Entity
Organization
Contact information
Practice address
1700 DALEY AVE, WESTON, WI 54476-3827
(715) 355-1340
Mailing address
1700 DALEY AVE, WESTON, WI 54476-3827
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
636-027
WI
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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