County of Portage

NPI #1003819491 in Stevens Point, Wisconsin

Provider Information

NPI Number
1003819491
Entity Type
Organization
Organization Name
County of Portage
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 31, 2005
Last Updated
Feb 13, 2017

Practice Location

Address
825 WHITING AVE
ZIP Code
54481-5246
Phone
(715) 346-1375

Authorized Official

Name
MARCIA MCDONALD
Title
ADMINISTRATOR
Phone
(715) 346-1497

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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