St Michael's Evangelical Lutheran Home For The Aged

NPI 1144293762 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1144293762
Enumeration Date 02/13/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DEAN H DEAN
Position NURSING HOME ADMINISTRATOR
Phone (608) 687-7721
Fax (608) 687-4006
Practice Location
270 NORTH STREET
FOUNTAIN CITY WI, 54629, US
Phone (608) 687-7721
Fax (608) 687-4006
Business Location
270 NORTH STREET
FOUNTAIN CITY WI, 54629, US
Phone (608) 687-7721
Fax (608) 687-4006
Toxanomy
Taxonomy Code 314000000X
License State Wisconsin
License Number 49
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According to our database, St Michael's Evangelical Lutheran Home For The Aged NPI is 1144293762, taxonomy code is 314000000X and license number is 49, license state is located at Wisconsin. St Michael's Evangelical Lutheran Home For The Aged physically located at 270 North Street, Fountain City WI, 54629. NPI Number 1033115704 has the healthcare provider type.

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1144293762 NPI number is provided on an as is basis without warranty of any kind. 1144293762 is maintained by the National Plan & Provider Enumeration System. The contents of St Michael's Evangelical Lutheran Home For The Aged are for informational purposes only.