Grancare INC
NPI #1295721991 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1295721991
- Entity Type
- Organization
- Organization Name
- Grancare INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 27, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 517 E DIVISION ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-3735
- Phone
- (920) 921-6800
Authorized Official
- Name
- MR. WILLIAM L MACKENZIE
- Title
- ADMINISTRATOR
- Phone
- (920) 921-6800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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