Organization
RICE LAKE CONVALESCENT CENTER
Active
Parent organization
FIRST AMERICAN ENTERPRISES
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST AMERICAN ENTERPRISES
Authorized official
JACKIE DAMASKE (BOM)
(715) 234-9101
Entity
Organization
Contact information
Practice address
1016 LAKESHORE DR, RICE LAKE, WI 54868-1225
(715) 234-9101
Mailing address
1016 LAKESHORE DR, RICE LAKE, WI 54868-1225
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5129
WI
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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