Organization
WISCONSIN HEALTH CARE FOUNDATION
Active
Other names
FOUNTAIN VIEW CARE CENTER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY L RICE (MANAGER)
(920) 991-9072
Entity
Organization
Contact information
Practice address
50 WOLVERTON AVE, RIPON, WI 54971-1050
(920) 748-5638
(920) 748-6427
Mailing address
1726 N BALLARD RD, APPLETON, WI 54911-2444
(920) 991-9072
(920) 749-4021
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3186
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20189100
—
WI
Enumeration date
08/23/2005
Last updated
02/05/2008
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