Organization
MARQUARDT MEMORIAL MANOR, INC.
Active
Parent organization
MARQUARDT VILLAGE, INC
Other names
Marquardt Health and Rehab Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARQUARDT VILLAGE, INC
Authorized official
MS. NICOLE CHWALA (CFO)
(920) 206-4983
Entity
Organization
Contact information
Practice address
1020 HILL ST, WATERTOWN, WI 53098-3016
(920) 261-0400
(920) 261-4840
Mailing address
1045 HILL ST, WATERTOWN, WI 53098-3015
(920) 261-0400
(920) 261-4840
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2143
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20139200
—
WI
01
—
534433
DEAN HEALTH PLAN
WI
Enumeration date
05/27/2005
Last updated
06/15/2023
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