Washington County Wisconsin

NPI #1750305520 in West Bend, Wisconsin

Provider Information

NPI Number
1750305520
Entity Type
Organization
Organization Name
Washington County Wisconsin
Subpart
Yes (part of a larger organization)
Parent Organization
WASHINGTON COUNTY WISCONSIN
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 26, 2006
Last Updated
Dec 21, 2011

Practice Location

Address
3200 PLEASANT VALLEY RD
ZIP Code
53095-9274
Phone
(262) 707-6800

Authorized Official

Name
MR. EDWARD EUGENE SOMERS, NHA
Title
ADMINISTRATOR
Phone
(262) 335-4500

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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