125 Byrd Avenue Operating Company, LLC

NPI #1700242161 in Neenah, Wisconsin

Provider Information

NPI Number
1700242161
Entity Type
Organization
Organization Name
125 Byrd Avenue Operating Company, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 14, 2016
Last Updated
Apr 5, 2016

Practice Location

Address
125 BYRD AVE
City
Neenah
ZIP Code
54956-4015
Phone
(920) 725-2714

Authorized Official

Name
KEVIN P BRESLIN
Title
MANAGER
Phone
(973) 339-8892

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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