Organization
FIRST AMERICAN ENTERPRISES, INC
Active
Parent organization
FIRST AMERICAN ENTERPRISES, INC
Other names
HERITAGE MANOR
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST AMERICAN ENTERPRISES, INC
Authorized official
DARLENE A DENUCCI (ADMINISTRATOR)
(715) 234-2161
Entity
Organization
Contact information
Practice address
19 WEST NEWTON ST, RICE LAKE, WI 54868-1744
(715) 234-2161
(715) 234-1705
Mailing address
19 WEST NEWTON ST, RICE LAKE, WI 54868-1744
(715) 234-2161
(715) 234-1705
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2463
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20156200
—
WI
Enumeration date
06/28/2005
Last updated
07/14/2008
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