100 E. Highland Drive Operating Company, LLC
NPI #1164888525 in Oconto Falls, Wisconsin
Provider Information
- NPI Number
- 1164888525
- Entity Type
- Organization
- Organization Name
- 100 E. Highland Drive Operating Company, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 14, 2016
- Last Updated
- Apr 5, 2016
Practice Location
- Address
- 100 E HIGHLAND DR
- City
- Oconto Falls
- State
- Wisconsin
- ZIP Code
- 54154-1001
- Phone
- (920) 848-3272
Authorized Official
- Name
- KEVIN P BRESLIN
- Title
- MANAGER
- Phone
- (973) 339-8892
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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