Villa At Middleton Village, Llc

NPI 1720490006 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1720490006
Enumeration Date 05/21/2014
Last Updated 05/21/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BENJAMIN BENJAMIN
Position CEO
Phone (608) 828-9743
Fax
Practice Location
6201 ELMWOOD AVE
MIDDLETON WI, 53562-3319, US
Phone (608) 828-9743
Fax
Business Location
6400 SHAFER CT
SUITE 475
ROSEMONT IL, 60018-4914, US
Phone
Fax
Toxanomy
Taxonomy Code 314000000X
License State
License Number
Remove 1720490006 NPI Number
 

According to our database, Villa At Middleton Village, Llc NPI is 1720490006, taxonomy code is 314000000X Villa At Middleton Village, Llc physically located at 6201 Elmwood Ave, Middleton WI, 53562-3319. NPI Number 1033115704 has the healthcare provider type.

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1720490006 NPI number is provided on an as is basis without warranty of any kind. 1720490006 is maintained by the National Plan & Provider Enumeration System. The contents of Villa At Middleton Village, Llc are for informational purposes only.