Organization
PEABODY MANOR
Active
Parent organization
THEDACARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
THEDACARE
Authorized official
JULIA JEAN-PIERRE PT (REHAD DIRECTOR)
(920) 225-7785
Entity
Organization
Contact information
Practice address
2600 S HERITAGE WOODS DR, APPLETON, WI 54915-1408
(920) 225-7764
Mailing address
817 N APPLETON ST, APPLETON, WI 54911-4503
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
538-019
WI
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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