Ccg Tomah Inc.

NPI #1194723205 in Tomah, Wisconsin

Provider Information

NPI Number
1194723205
Entity Type
Organization
Organization Name
Ccg Tomah Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 12, 2005
Last Updated
Jan 23, 2008

Practice Location

Address
1505 BUTTS AVE
City
Tomah
ZIP Code
54660-2405
Phone
(608) 372-3241

Authorized Official

Name
KEITH YODER
Title
CFO
Phone
(614) 416-0600

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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