Lindengrove, Inc

NPI 1003998790 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1003998790
Enumeration Date 10/20/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK V. MARK
Position CFO
Phone (262) 363-6830
Fax (262) 363-6837
Practice Location
837 COUNTY ROAD NN E
MUKWONAGO WI, 53149-1013, US
Phone (262) 363-6830
Fax (262) 363-6837
Business Location
13700 W NATIONAL AVE
NEW BERLIN WI, 53151-9521, US
Phone (262) 797-4600
Fax (262) 797-4616
Toxanomy
Taxonomy Code 314000000X
License State Wisconsin
License Number 5002
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According to our database, Lindengrove, Inc NPI is 1003998790, taxonomy code is 314000000X and license number is 5002, license state is located at Wisconsin. Lindengrove, Inc physically located at 837 County Road Nn E, Mukwonago WI, 53149-1013. NPI Number 1033115704 has the healthcare provider type.

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1003998790 NPI number is provided on an as is basis without warranty of any kind. 1003998790 is maintained by the National Plan & Provider Enumeration System. The contents of Lindengrove, Inc are for informational purposes only.