Va Health Care System (644)

NPI #1083937759 in Little Chute, Wisconsin

Provider Information

NPI Number
1083937759
Entity Type
Organization
Organization Name
Va Health Care System (644)
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Mar 9, 2010
Last Updated
Mar 9, 2010

Practice Location

Address
911 SKYVIEW AVE
ZIP Code
54140-2627
Phone
(920) 915-1499

Authorized Official

Name
MR. DANIEL T FALE, RN
Title
REGISTERED NURSE
Phone
(920) 915-1499

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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