Theda Care

NPI 1215084207 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1215084207
Enumeration Date 01/04/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANN P. ANN
Position PHYSICAL THERAPIST ASSISTANT
Phone (920) 225-7764
Fax
Practice Location
2600 S HERITAGE WOODS DR
APPLETON WI, 54915-1408, US
Phone (920) 225-7764
Fax
Business Location
N180 CROOKED PINE CT
APPLETON WI, 54915-3990, US
Phone (920) 225-7764
Fax
Toxanomy
Taxonomy Code 314000000X
License State Wisconsin
License Number =========
Remove 1215084207 NPI Number
 

According to our database, Theda Care NPI is 1215084207, taxonomy code is 314000000X and license number is =========, license state is located at Wisconsin. Theda Care physically located at 2600 S Heritage Woods Dr, Appleton WI, 54915-1408. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1215084207 NPI number is provided on an as is basis without warranty of any kind. 1215084207 is maintained by the National Plan & Provider Enumeration System. The contents of Theda Care are for informational purposes only.