Organization
KINDRED HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELDA EDITH MARTINEZ COTA (OCCUPATIONAL THERAPY ASSISTANT)
(920) 725-7869
Entity
Organization
Contact information
Practice address
125 BYRD AVE, NEENAH, WI 54956-4015
(920) 725-7869
(920) 722-9932
Mailing address
125 BYRD AVE, NEENAH, WI 54956-4015
(920) 725-7869
(920) 722-9932
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41037600
—
WI
Enumeration date
05/02/2008
Last updated
05/02/2008
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