Organization
GOLDEN LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY ANNA HALL (PHYSICAL THERAPIST ASSISTANT)
(920) 495-6533
Entity
Organization
Contact information
Practice address
925 S OXFORD AVE, B2, STURGEON BAY, WI 54235-3907
(920) 495-6533
Mailing address
925 S OXFORD AVE, B2, STURGEON BAY, WI 54235-3907
(920) 495-6533
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2389-19
WI
Other
Enumeration date
12/05/2015
Last updated
12/05/2015
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