Organization
MAYVILLE NURSING AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL PAUL FRENETTE (PHYSICAL THERAPIST ASSISTANT)
(715) 559-1718
Entity
Organization
Contact information
Practice address
305 S CLARK ST, MAYVILLE, WI 53050-1488
(920) 387-1370
Mailing address
305 S CLARK ST, MAYVILLE, WI 53050-1488
(920) 387-1370
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1981-19
WI
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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