Fmg New Pine Drive Wisconsin Llc

NPI 1740679547 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1740679547
Enumeration Date 01/16/2015
Last Updated 01/16/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DAVID DAVID
Position AUTHORIZED OFFICIAL
Phone (715) 833-0400
Fax (715) 833-0546
Practice Location
2512 NEW PINE DR
ALTOONA WI, 54720-1378, US
Phone (715) 833-0400
Fax (715) 833-0546
Business Location
2512 NEW PINE DR
ALTOONA WI, 54720-1378, US
Phone (715) 833-0400
Fax (715) 833-0546
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, Fmg New Pine Drive Wisconsin Llc NPI is 1740679547, taxonomy code is 314000000X Fmg New Pine Drive Wisconsin Llc physically located at 2512 New Pine Dr, Altoona WI, 54720-1378. NPI Number 1033115704 has the healthcare provider type.

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1740679547 NPI number is provided on an as is basis without warranty of any kind. 1740679547 is maintained by the National Plan & Provider Enumeration System. The contents of Fmg New Pine Drive Wisconsin Llc are for informational purposes only.