Organization
SUNNY RIDGE REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LEGUM (CEO)
(507) 697-5674
Entity
Organization
Contact information
Practice address
3014 ERIE AVE, SHEBOYGAN, WI 53081-3658
(920) 459-3028
Mailing address
638 SOUTHBEND AVE, MANKATO, MN 56001-2168
(507) 625-8741
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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