Organization
FMG NORTH 7TH STREET WISCONSIN LLC
Active
Other names
Cornell Area Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEATING (AUTHORIZED OFFICIAL)
(414) 908-8058
Entity
Organization
Contact information
Practice address
320 N 7TH ST, CORNELL, WI 54732-8120
(715) 239-6288
(715) 239-6608
Mailing address
320 N 7TH ST, CORNELL, WI 54732-8120
(715) 239-6288
(715) 239-6608
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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