Rice Lake Operations LLC

NPI #1063962454 in Rice Lake, Wisconsin

Provider Information

NPI Number
1063962454
Entity Type
Organization
Organization Name
Rice Lake Operations LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 10, 2016
Last Updated
Oct 10, 2016

Practice Location

Address
1016 LAKESHORE DR
ZIP Code
54868-1225
Phone
(715) 234-9101

Authorized Official

Name
MR. EPHRAM LAHASKY
Title
MANAGER MEMBER
Phone
(646) 772-3668

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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