Organization
WOLVERTON OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM KUSHNIR (AUTHORIZED OFFICIAL)
(619) 565-3637
Entity
Organization
Contact information
Practice address
50 WOLVERTON AVE, RIPON, WI 54971-1050
(920) 748-5638
Mailing address
50 WOLVERTON AVE, RIPON, WI 54971-1050
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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