Phcn, Llc

NPI 1225456783 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1225456783
Enumeration Date 04/02/2014
Last Updated 09/22/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BENJAMIN BENJAMIN
Position MANAGER
Phone (715) 568-2503
Fax
Practice Location
1840 PRIDDY ST
BLOOMER WI, 54724-1546, US
Phone (715) 568-2503
Fax
Business Location
7444 LONG AVE
4711 GOLF ROAD
SKOKIE IL, 60077-3214, US
Phone (847) 329-4100
Fax
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, Phcn, Llc NPI is 1225456783, taxonomy code is 314000000X Phcn, Llc physically located at 1840 Priddy St, Bloomer WI, 54724-1546. NPI Number 1033115704 has the healthcare provider type.

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1225456783 NPI number is provided on an as is basis without warranty of any kind. 1225456783 is maintained by the National Plan & Provider Enumeration System. The contents of Phcn, Llc are for informational purposes only.