Extendicare Homes, Inc.

NPI #1578635918 in Delavan, Wisconsin

Provider Information

NPI Number
1578635918
Entity Type
Organization
Organization Name
Extendicare Homes, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 14, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
905 E GENEVA ST
ZIP Code
53115-1922
Phone
(262) 728-6319

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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