Organization
MARSH COUNTRY HEALTH ALLIANCE
Active
Other names
MCHA FDD
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE E HOOPER NHA RN (ADMINISTRATOR)
(920) 386-3409
Entity
Organization
Contact information
Practice address
199 HOME RD, JUNEAU, WI 53039-1401
(920) 386-3400
(920) 386-3800
Mailing address
199 HOME RD, JUNEAU, WI 53039-1401
(920) 386-3400
(920) 386-3800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2977
WI
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
05/25/2007
Last updated
08/24/2010
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