Ccc of West Green Bay LLC

NPI #1073099495 in Green Bay, Wisconsin

Provider Information

NPI Number
1073099495
Entity Type
Organization
Organization Name
Ccc of West Green Bay LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 18, 2018
Last Updated
Aug 6, 2024

Practice Location

Address
1760 SHAWANO AVE
ZIP Code
54303-3216
Phone
(847) 983-4860

Authorized Official

Name
DAVID MERZEL
Title
CFO
Phone
(847) 983-4860

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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