Bedrock Hcs at Beaver Dam LLC
NPI #1679124705 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1679124705
- Entity Type
- Organization
- Organization Name
- Bedrock Hcs at Beaver Dam LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 20, 2019
- Last Updated
- Sep 20, 2019
Practice Location
- Address
- 410 ROEDL CT
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-2934
- Phone
- (920) 887-7191
Authorized Official
- Name
- ESTHER TILLIM
- Title
- BOOKKEEPER
- Phone
- (732) 328-7499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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