Wisconsin Illinois Senior Housing Inc.

NPI #1043463961 in East Troy, Wisconsin

Provider Information

NPI Number
1043463961
Entity Type
Organization
Organization Name
Wisconsin Illinois Senior Housing Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 23, 2008
Last Updated
May 13, 2020

Practice Location

Address
3271 NORTH ST
ZIP Code
53120-1147
Phone
(262) 642-3995

Authorized Official

Name
MRS. STEPHANIE L. SHERMAN
Title
MEDICARE PROGRAM MONITOR
Phone
(303) 980-0611

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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