Organization
DR-GY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBORAH LOHR (BOOKKEEPER)
(608) 712-8264
Entity
Organization
Contact information
Practice address
131 ELLIS AVE, RANDOLPH, WI 53956-1309
(608) 712-2921
Mailing address
747 LOIS DR, SUN PRAIRIE, WI 53590-1177
(608) 712-8264
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
392SS
WPS
—
Enumeration date
10/26/2018
Last updated
10/26/2018
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