Organization
CITY OF CHETEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID KENNETH WEST (NURSING HOME ADMINISTRATOR)
(715) 924-4891
Entity
Organization
Contact information
Practice address
725 KNAPP ST, CHETEK, WI 54728-9106
(715) 924-4891
(715) 924-4896
Mailing address
725 KNAPP ST, CHETEK, WI 54728-9106
(715) 924-4891
(715) 924-4896
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1038
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20156000
—
WI
Enumeration date
10/11/2005
Last updated
12/27/2011
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