Oak Creek Health And Rehabilitation Center LLC
Skilled Nursing Facility in Oak Creek, WI. Organization (NPI-2).
NPI number1174375729
StatusActive
Last updated in NPPESApr 4, 2024
Details
- NPI
- 1174375729
- Entity type
- Organization (NPI-2)
- Legal business name
- Oak Creek Health And Rehabilitation Center LLC
- Organization subpart
- No
- Enumeration date
- Apr 4, 2024
- Certification date
- Apr 4, 2024
- Last updated
- Apr 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
2700 W Honadel BlvdOak Creek, WI 53154-2650
Phone 414-435-2005
Mailing address
165 N Village Ave Ste 126Rockville Centre, NY 11570-3763
Phone 516-605-9800
Authorized official
Menachem Ruvel
Managing Member
5166059800
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