Chetek Nursing And Rehab LLC
Skilled Nursing Facility in Chetek, WI. Organization (NPI-2).
NPI number1982254611
StatusActive
Last updated in NPPESFeb 3, 2022
Details
- NPI
- 1982254611
- Entity type
- Organization (NPI-2)
- Legal business name
- Chetek Nursing And Rehab LLC
- Organization subpart
- No
- Enumeration date
- Sep 15, 2019
- Certification date
- Feb 3, 2022
- Last updated
- Feb 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Meadowbrook At Chetek (Doing Business As)
Practice location
725 Knapp StChetek, WI 54728-9106
Phone 715-924-4891
Mailing address
8170 McCormick Blvd Ste 119Skokie, IL 60076-2961
Phone 715-924-4891
Authorized official
Rostislav Pukshansky
Partner
8479427575
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