Extendicare Homes, Inc.

NPI #1033282116 in Cedarburg, Wisconsin

Provider Information

NPI Number
1033282116
Entity Type
Organization
Organization Name
Extendicare Homes, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 16, 2006
Last Updated
Apr 7, 2008

Practice Location

Address
N27W5707 LINCOLN BLVD
ZIP Code
53012-2852
Phone
(262) 376-7676

Authorized Official

Name
DONNA JO MAASSEN
Title
DIRECTOR OF COMPLIANCE
Phone
(414) 908-8119

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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