Organization
DYCORA TRANSITIONAL HEALTH - RIVERDALE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN FOSTER (COO)
(317) 786-3230
Entity
Organization
Contact information
Practice address
1000 N WISCONSIN AVE, MUSCODA, WI 53573-9115
(608) 739-3186
Mailing address
1000 N WISCONSIN AVE, MUSCODA, WI 53573-9115
(608) 739-3186
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
3188
WI
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/04/2016
Last updated
10/15/2018
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