Wisconsin Illinois Senior Housing Inc.

NPI #1134111826 in Elkhorn, Wisconsin

Provider Information

NPI Number
1134111826
Entity Type
Organization
Organization Name
Wisconsin Illinois Senior Housing Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 18, 2005
Last Updated
May 13, 2020

Practice Location

Address
645 N. CHURCH ST
ZIP Code
53121
Phone
(262) 723-4963

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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