Organization
BENEVOLENT CORPORATION CEDAR COMMUNITY
Active
Parent organization
BENEVOLENT CORPORATION CEDAR COMMUNITY
Other names
Cedar Lake Health and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENEVOLENT CORPORATION CEDAR COMMUNITY
Authorized official
JOSEPH T PICHLER (VICE PRESIDENT OF FINANCE)
(262) 306-4212
Entity
Organization
Contact information
Practice address
5595 COUNTY ROAD Z, WEST BEND, WI 53095-9224
(262) 306-2100
(262) 306-2126
Mailing address
5595 COUNTY ROAD Z, WEST BEND, WI 53095-9224
(262) 306-2100
(262) 306-2126
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0705
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20125800
—
WI
Enumeration date
07/22/2005
Last updated
03/15/2021
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