Extendicare Homes, Inc.

NPI #1386718005 in Altoona, Wisconsin

Provider Information

NPI Number
1386718005
Entity Type
Organization
Organization Name
Extendicare Homes, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 17, 2006
Last Updated
Apr 7, 2008

Practice Location

Address
2512 NEW PINE DR
ZIP Code
54720-1378
Phone
(715) 833-0400

Authorized Official

Name
DONNA JO MAASSEN
Title
DIRECTOR OF COMPLIANCE
Phone
(414) 908-8119

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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