Ridgewood

NPI #1548539323 in Racine, Wisconsin

Provider Information

NPI Number
1548539323
Entity Type
Organization
Organization Name
Ridgewood
Subpart
Yes (part of a larger organization)
Parent Organization
MJCARE INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 22, 2011
Last Updated
Dec 22, 2011

Practice Location

Address
3205 WOOD RD
City
Racine
ZIP Code
53406-5048
Phone
(262) 598-9146

Authorized Official

Name
MARY L SWAIM, COTA/L
Title
COTA/L
Phone
(262) 598-9146

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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