Organization
FOUR WINDS MANOR, INC.
Active
Other names
Four Winds Manor and Lodge, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUANITA ROSE RETRUM (OFFICE MANAGER)
(608) 845-6465
Entity
Organization
Contact information
Practice address
303 S JEFFERSON ST, VERONA, WI 53593-1415
(608) 845-6465
(608) 848-8315
Mailing address
303 S JEFFERSON ST, VERONA, WI 53593-1415
(608) 845-6465
(608) 848-8315
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1002
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20154000
—
WI
Enumeration date
10/17/2005
Last updated
08/22/2020
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