Organization
GREAT LAKES REHABILITATION AND NURSING CENTER LLC
Active
Other names
Dove Healthcare - Superior
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAK MARKOVITS (MANAGING MEMBER)
(608) 448-6200
Entity
Organization
Contact information
Practice address
1800 NEW YORK AVE, SUPERIOR, WI 54880-2008
(715) 394-5591
Mailing address
1632 61ST ST, BROOKLYN, NY 11204-2109
(608) 448-6200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
06/21/2024
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