Hetzel Care Center, INC
Skilled Nursing Facility in Bloomer, WI. Organization (NPI-2).
NPI number1104813005
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104813005
- Entity type
- Organization (NPI-2)
- Legal business name
- Hetzel Care Center, INC
- Organization subpart
- No
- Enumeration date
- Oct 5, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 2807 | WI | Yes |
Practice location
1840 Priddy StBloomer, WI 54724-1546
Phone 715-568-2503 · Fax 715-568-2518
Mailing address
1840 Priddy StBloomer, WI 54724-1546
Phone 715-568-2503 · Fax 715-568-2518
Authorized official
Gordon Hetzel
President
7155682503
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