Sun Prairie Health Care Center, LLC
NPI #1265420319 in Sun Prairie, Wisconsin
Provider Information
- NPI Number
- 1265420319
- Entity Type
- Organization
- Organization Name
- Sun Prairie Health Care Center, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 12, 2005
- Last Updated
- Jan 31, 2008
Practice Location
- Address
- 228 W MAIN ST
- City
- Sun Prairie
- State
- Wisconsin
- ZIP Code
- 53590-2908
- Phone
- (608) 251-1171
Authorized Official
- Name
- MR. EDWIN M. KRUCHTEN
- Title
- OWNER
- Phone
- (608) 849-5016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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