Heyde Health System Pepin Llc

NPI 1417214651 - Assisted Living Facility - 310400000X

NPI Details
NPI 1417214651
Enumeration Date 04/12/2012
Last Updated 04/12/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MARTIN C MARTIN
Position EXECUTIVE VICE PRESIDENT/COO
Phone (715) 442-4811
Fax (715) 442-2904
Practice Location
1112 SECOND ST.
PEPIN WI, 54759-9658, US
Phone (715) 442-4811
Fax (715) 442-2904
Business Location
345 FRENETTE DR
CHIPPEWA FALLS WI, 54729-3372, US
Phone (715) 726-9094
Fax (715) 723-1205
Toxanomy
Taxonomy Code 310400000X
License State Wisconsin
License Number 13844
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According to our database, Heyde Health System Pepin Llc NPI is 1417214651, taxonomy code is 310400000X and license number is 13844, license state is located at Wisconsin. Heyde Health System Pepin Llc physically located at 1112 Second St., Pepin WI, 54759-9658. NPI Number 1033115704 has the healthcare provider type.

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1417214651 NPI number is provided on an as is basis without warranty of any kind. 1417214651 is maintained by the National Plan & Provider Enumeration System. The contents of Heyde Health System Pepin Llc are for informational purposes only.