Organization
PETERSEN HEALTH CARE OF WI, INC.
Active
Other names
Taylor Park Health Care and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY STANLEY R.N., NHA (NURSING HOME ADMINISTRATOR)
(715) 365-6863
Entity
Organization
Contact information
Practice address
903 BOYCE DR, RHINELANDER, WI 54501-3836
(715) 365-6900
(715) 365-6776
Mailing address
903 BOYCE DR, P.O. BOX 857, RHINELANDER, WI 54501-3836
(715) 365-6900
(715) 365-6776
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2750
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20114700
—
WI
Enumeration date
08/11/2005
Last updated
08/22/2020
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