Organization
FMG 32ND AVENUE WISCONSIN LLC
Active
Other names
Hospitality Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEATING (AUTHORIZED OFFICIAL)
(414) 908-8058
Entity
Organization
Contact information
Practice address
8633 32ND AVE, KENOSHA, WI 53142-5187
(262) 694-8300
Mailing address
8633 32ND AVE, KENOSHA, WI 53142-5187
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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