Extendicare Homes, Inc.
NPI #1336199520 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1336199520
- Entity Type
- Organization
- Organization Name
- Extendicare Homes, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 11, 2006
- Last Updated
- Apr 7, 2008
Practice Location
- Address
- 115 E ARNDT ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-2461
- Phone
- (920) 923-7040
Authorized Official
- Name
- MS. DONNA J MAASSEN
- Title
- PRIVACY OFFICER
- Phone
- (414) 908-8119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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