Extendicare Homes, Inc.
NPI #1659445328 in Menomonee Falls, Wisconsin
Provider Information
- NPI Number
- 1659445328
- 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
- N84W17049 MENOMONEE AVE
- City
- Menomonee Falls
- State
- Wisconsin
- ZIP Code
- 53051-2701
- Phone
- (262) 255-1180
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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