Organization
BETHANY-ST JOSEPH CORPORATION
Active
Other names
MARINUKA MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GOCHANOUR (CEO)
(608) 788-5700
Entity
Organization
Contact information
Practice address
19475 SILVER CREEK RD, GALESVILLE, WI 54630-6400
(608) 582-2211
(608) 582-4068
Mailing address
19475 SILVER CREEK RD, GALESVILLE, WI 54630-6400
(608) 582-2211
(608) 582-4068
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2498
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20143500
—
WI
Enumeration date
08/25/2005
Last updated
12/06/2024
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