Organization
BEDROCK HCS AT BECKER DR WI OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY KOHLS (OPERATIONS)
(414) 750-6987
Entity
Organization
Contact information
Practice address
1700 C A BECKER DR, RACINE, WI 53406-4714
(262) 637-9751
Mailing address
150 OBERLIN AVE N STE 6, LAKEWOOD, NJ 08701-4535
(732) 800-6005
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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