Organization
FAMILY HERITAGE NURSING & REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE ORLINSKY (MANAGING MEMBER)
(314) 588-7518
Entity
Organization
Contact information
Practice address
1311 TYLER ST, BLACK RIVER FALLS, WI 54615-1564
(715) 284-4396
(715) 284-7786
Mailing address
1311 TYLER ST, BLACK RIVER FALLS, WI 54615-1564
(715) 284-4396
(715) 284-7786
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3211
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100012961
—
WI
05
—
20183900
—
WI
Enumeration date
12/22/2010
Last updated
07/12/2011
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