The Bay At Eastview Health And Rehabilitation LLC
Skilled Nursing Facility in Antigo, WI. Organization (NPI-2).
NPI number1982139754
StatusActive
Last updated in NPPESSep 8, 2023
Details
- NPI
- 1982139754
- Entity type
- Organization (NPI-2)
- Legal business name
- The Bay At Eastview Health And Rehabilitation LLC
- Organization subpart
- No
- Enumeration date
- Apr 28, 2017
- Certification date
- Sep 8, 2023
- Last updated
- Sep 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Eastview Health And Rehabilitation Center (Doing Business As)
Practice location
729 Park StAntigo, WI 54409
Phone 715-623-2356
Mailing address
729 Park StAntigo, WI 54409-2745
Phone 715-623-2356
Authorized official
Menachem Ruvel
Manager
5166059800
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