Organization
ZASTROW CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE C ZASTROW NHA (ADMINISTRATOR)
(715) 447-8217
Entity
Organization
Contact information
Practice address
600 W HICKORY STREET, GILMAN, WI 54433-0218
(715) 447-8217
(715) 447-5775
Mailing address
PO BOX 218, GILMAN, WI 54433-0218
(715) 447-8217
(715) 447-5775
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3091
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20000300
—
WI
Enumeration date
11/15/2006
Last updated
08/22/2020
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