Fmg North Summit Village Way Wisconsin Llc

NPI 1710376512 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1710376512
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 (262) 567-4662
Fax
Practice Location
2195 N SUMMIT VILLAGE WAY
SUMMIT WI, 53066-8675, US
Phone (262) 567-4662
Fax
Business Location
2195 N SUMMIT VILLAGE WAY
SUMMIT WI, 53066-8675, US
Phone (262) 567-4662
Fax
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, Fmg North Summit Village Way Wisconsin Llc NPI is 1710376512, taxonomy code is 314000000X Fmg North Summit Village Way Wisconsin Llc physically located at 2195 N Summit Village Way, Summit WI, 53066-8675. NPI Number 1033115704 has the healthcare provider type.

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1710376512 NPI number is provided on an as is basis without warranty of any kind. 1710376512 is maintained by the National Plan & Provider Enumeration System. The contents of Fmg North Summit Village Way Wisconsin Llc are for informational purposes only.