Ccg - Frederic
NPI #1366440430 in Frederic, Wisconsin
Provider Information
- NPI Number
- 1366440430
- Entity Type
- Organization
- Organization Name
- Ccg - Frederic
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 12, 2005
- Last Updated
- Apr 20, 2008
Practice Location
Authorized Official
- Name
- KEITH YODER
- Title
- CFO
- Phone
- (614) 416-0600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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