Organization
VILLAGE OF PRAIRIE FARM
Active
Other names
Pioneer Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DUHR (CEO)
(715) 832-3003
Entity
Organization
Contact information
Practice address
530 RIVER AVENUE SOUTH, PRAIRIE FARM, WI 54762
(715) 455-1178
(715) 455-1044
Mailing address
530 RIVER AVENUE SOUTH, PRAIRIE FARM, WI 54762
(715) 455-1178
(715) 455-1044
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1056
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20156100
—
WI
Enumeration date
07/08/2005
Last updated
02/01/2023
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