Organization
EDENBROOK ON ONEIDA NURSING AND REHAB LLC
Active
Other names
EDENBROOK APPLETON SOUTH
Organization subpart
No
Provider details
NPI number
Authorized official
ANYA VISTMAN (CORPORATE COUNSEL)
(773) 825-3336
Entity
Organization
Contact information
Practice address
1335 S ONEIDA ST, APPLETON, WI 54915-1351
(920) 731-6646
Mailing address
8170 MCCORMICK BLVD STE 112, SKOKIE, IL 60076-2914
(773) 825-3336
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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