Fmg Mulberry Street Wisconsin Llc

NPI 1700278025 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1700278025
Enumeration Date 02/24/2015
Last Updated 02/24/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DAVID DAVID
Position AUTHORIZED OFFICIAL
Phone (920) 648-8344
Fax
Practice Location
901 MULBERRY ST
LAKE MILLS WI, 53551-1335, US
Phone (920) 648-8344
Fax
Business Location
901 MULBERRY ST
LAKE MILLS WI, 53551-1335, US
Phone (920) 648-8344
Fax
Toxanomy
Taxonomy Code 314000000X
License State
License Number
Remove 1700278025 NPI Number
 

According to our database, Fmg Mulberry Street Wisconsin Llc NPI is 1700278025, taxonomy code is 314000000X Fmg Mulberry Street Wisconsin Llc physically located at 901 Mulberry St, Lake Mills WI, 53551-1335. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1700278025 NPI number is provided on an as is basis without warranty of any kind. 1700278025 is maintained by the National Plan & Provider Enumeration System. The contents of Fmg Mulberry Street Wisconsin Llc are for informational purposes only.