Clearsky Rehabilitation Hospital Of Kenosha LLC
Rehabilitation Hospital in Kenosha, WI. Organization (NPI-2).
NPI number1760104889
StatusActive
Last updated in NPPESFeb 22, 2023
Details
- NPI
- 1760104889
- Entity type
- Organization (NPI-2)
- Legal business name
- Clearsky Rehabilitation Hospital Of Kenosha LLC
- Organization subpart
- No
- Enumeration date
- Sep 15, 2022
- Certification date
- Feb 22, 2023
- Last updated
- Feb 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 283X00000X | Rehabilitation Hospital | – | – | Yes |
Practice location
6308 8th AvePalmer Tower
Kenosha, WI 53143-5031
Phone 262-771-0073
Mailing address
5600 Wyoming Blvd Ne Ste 225Albuquerque, NM 87109-3136
Phone 505-317-3802
Authorized official
Kristi Duncan
Cfo
5053173988
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