Organization
COUNTY OF ROCK COUNTY CLERK
Active
Other names
Rock Haven
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R SUDMEIER (CONTROLLER)
(608) 757-5151
Entity
Organization
Contact information
Practice address
3418 N COUNTY HWY F, JANESVILLE, WI 53545
(608) 757-5000
(608) 757-5010
Mailing address
PO BOX 351, JANESVILLE, WI 53547-0351
(608) 757-5000
(608) 757-5010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2425
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20161800
—
WI
01
—
600000111
MEDICARE RAILROAD
WI
Enumeration date
10/07/2005
Last updated
06/21/2018
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