Organization
KINDRED NURSING AND REHAB KENOSHA NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY GRATZ (PROGRAM DIRECTOR)
(262) 653-2941
Entity
Organization
Contact information
Practice address
3415 SHERIDAN RD, KENOSHA, WI 53140-1924
(262) 653-2941
Mailing address
3415 SHERIDAN RD, KENOSHA, WI 53140-1924
(262) 653-2941
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1607-019
WI
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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