Benedictine Living Community of Spooner

NPI #1073809620 in Spooner, Wisconsin

Provider Information

NPI Number
1073809620
Entity Type
Organization
Organization Name
Benedictine Living Community of Spooner
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 22, 2011
Last Updated
Jun 22, 2011

Practice Location

Address
510 FIRST STREET
ZIP Code
54801
Phone
(715) 635-1412

Authorized Official

Name
MR. LEN MEYSEMBOURG
Title
ADMINISTRATOR/CEO
Phone
(715) 635-1420

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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