Bedrock Hcs At Beaver Dam LLC
Skilled Nursing Facility in Beaver Dam, WI. Organization (NPI-2).
NPI number1679124705
StatusActive
Last updated in NPPESSep 20, 2019
Details
- NPI
- 1679124705
- Entity type
- Organization (NPI-2)
- Legal business name
- Bedrock Hcs At Beaver Dam LLC
- Organization subpart
- No
- Enumeration date
- Sep 20, 2019
- Last updated
- Sep 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
410 Roedl CtBeaver Dam, WI 53916-2934
Phone 920-887-7191
Mailing address
Workspaces At Bitbean C/O Esther Tillim1776 Ave Of The States Suite 302
Lakewood, NJ 08701
Phone 732-328-7499
Authorized official
Esther Tillim
Bookkeeper
7323287499
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