Organization
HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY
Active
Other names
North Central Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
GARY D. OLSEN (EXECUTIVE DIRECTOR)
(715) 848-4600
Entity
Organization
Contact information
Practice address
2400 MARSHALL ST STE B, WAUSAU, WI 54403-6738
(715) 848-4600
Mailing address
2400 MARSHALL ST STE A, WAUSAU, WI 54403-6738
(715) 848-4600
(715) 845-5398
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2931
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20123800
—
WI
Enumeration date
08/28/2006
Last updated
10/19/2023
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