Organization
GREENFIELD REHAB AGENCY UNC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY JO HAVERKORN PTA (PHYSICAL THERAPIST ASSISTANT)
(920) 388-4111
Entity
Organization
Contact information
Practice address
1308 LINCOLN ST, KEWAUNEE, WI 54216-1606
(920) 388-4111
Mailing address
N5742 CTY C, CASCO, WI 54205
(920) 837-2370
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
223019
WI
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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