Heritage Rice Lake Operations LLC
NPI #1457806176 in Rice Lake, Wisconsin
Provider Information
- NPI Number
- 1457806176
- Entity Type
- Organization
- Organization Name
- Heritage Rice Lake Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 23, 2016
- Last Updated
- Aug 23, 2016
Practice Location
Authorized Official
- Name
- MR. EPHRAM LAHASKY
- Title
- MANAGER/MEMBER
- Phone
- (646) 772-3668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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