Trousdale Foundation, Inc Benchmark Healthcare Of Dane County

NPI 1003819616 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1003819616
Enumeration Date 05/27/2005
Last Updated 08/24/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CLAYTON M. CLAYTON
Position ADMINISTRATOR
Phone (608) 767-2572
Fax (608) 767-2565
Practice Location
634 CENTER ST
BLACK EARTH WI, 53515-9544, US
Phone (608) 767-2572
Fax (608) 767-2565
Business Location
634 CENTER ST
BLACK EARTH WI, 53515-9544, US
Phone (608) 767-2572
Fax (608) 767-2565
Toxanomy
Taxonomy Code 314000000X
License State Wisconsin
License Number 2944
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According to our database, Trousdale Foundation, Inc Benchmark Healthcare Of Dane County NPI is 1003819616, taxonomy code is 314000000X and license number is 2944, license state is located at Wisconsin. Trousdale Foundation, Inc Benchmark Healthcare Of Dane County physically located at 634 Center St, Black Earth WI, 53515-9544. NPI Number 1033115704 has the healthcare provider type.

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1003819616 NPI number is provided on an as is basis without warranty of any kind. 1003819616 is maintained by the National Plan & Provider Enumeration System. The contents of Trousdale Foundation, Inc Benchmark Healthcare Of Dane County are for informational purposes only.