Ggnsc Tomahawk Golden Age Llc

NPI 1487604138 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1487604138
Enumeration Date 05/12/2006
Last Updated 07/17/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name HOLLY A. HOLLY
Position SECRETARY
Phone (715) 453-2164
Fax (715) 453-1066
Practice Location
720 E KING RD
TOMAHAWK WI, 54487-1513, US
Phone (715) 453-2164
Fax (715) 453-1066
Business Location
720 E KING RD
TOMAHAWK WI, 54487-1513, US
Phone (715) 453-2164
Fax (715) 453-1066
Toxanomy
Taxonomy Code 314000000X
License State Wisconsin
License Number 2733
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According to our database, Ggnsc Tomahawk Golden Age Llc NPI is 1487604138, taxonomy code is 314000000X and license number is 2733, license state is located at Wisconsin. Ggnsc Tomahawk Golden Age Llc physically located at 720 E King Rd, Tomahawk WI, 54487-1513. NPI Number 1033115704 has the healthcare provider type.

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1487604138 NPI number is provided on an as is basis without warranty of any kind. 1487604138 is maintained by the National Plan & Provider Enumeration System. The contents of Ggnsc Tomahawk Golden Age Llc are for informational purposes only.