Organization
BORNEMANN NURSING HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE J DAVIS (NHA OWNER)
(920) 468-8675
Entity
Organization
Contact information
Practice address
226 BORNEMANN ST, GREEN BAY, WI 54302
(920) 468-8675
(920) 468-0667
Mailing address
226 BORNEMANN ST, GREEN BAY, WI 54302
(920) 468-8675
(920) 468-0667
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20163500
—
WI
Enumeration date
08/31/2005
Last updated
08/22/2020
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