Organization
WAUKESHA SPRINGS OPERATING COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN HERATY (MEMBER)
(716) 580-4800
Entity
Organization
Contact information
Practice address
1810 KENSINGTON DR, WAUKESHA, WI 53188-5616
(262) 548-1400
Mailing address
305 ELMWOOD AVE, BUFFALO, NY 14222-2203
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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