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Organization

NSH RANDOLPH LLC

Active
Other names
Continental Manor of Randolph Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY CHARLES HOEHN (MANAGING MEMBER)
(636) 698-8600
Entity
Organization

Contact information

Practice address
502 S HIGH ST, RANDOLPH, WI 53956-1499
(920) 326-3171
(920) 326-3239
Mailing address
5150 N PORT WASHINGTON RD, SUITE 260, GLENDALE, WI 53217-5474
(414) 962-5250
(414) 962-5251

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
11/11/2016
Last updated
12/30/2016
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