Snh Wis Tenant LLC
Skilled Nursing Facility in Waukesha, WI. Organization (NPI-2).
NPI number1164072070
StatusActive
Last updated in NPPESMay 7, 2020
Details
- NPI
- 1164072070
- Entity type
- Organization (NPI-2)
- Legal business name
- Snh Wis Tenant LLC
- Organization subpart
- Yes
- Enumeration date
- Sep 13, 2019
- Certification date
- May 7, 2020
- Last updated
- May 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Virginia Health And Rehabilitation Center (Doing Business As)
Practice location
1451 Cleveland AveWaukesha, WI 53186-3876
Phone 262-547-2123 · Fax 262-547-6204
Mailing address
255 Washington St Ste 300Newton, MA 02458-1634
Phone 617-796-8350
Authorized official
Jennifer F. Mintzer
President & Chief Operating Officer
6177968350
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