Organization
WAUNAKEE MANOR HEALTH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN M. KRUCHTEN (OWNER)
(608) 849-5016
Entity
Organization
Contact information
Practice address
801 S KLEIN DR, WAUNAKEE, WI 53597-1575
(608) 849-5016
(608) 850-6878
Mailing address
801 S KLEIN DR, WAUNAKEE, WI 53597-1575
(608) 849-5016
(608) 850-6878
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2450
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20131700
—
WI
Enumeration date
10/12/2005
Last updated
07/10/2007
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