1840 Priddy Street Operating Company, LLC
NPI #1790141158 in Bloomer, Wisconsin
Provider Information
- NPI Number
- 1790141158
- Entity Type
- Organization
- Organization Name
- 1840 Priddy Street Operating Company, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 14, 2016
- Last Updated
- Apr 5, 2016
Practice Location
Authorized Official
- Name
- KEVIN P BRESLIN
- Title
- MANAGER
- Phone
- (973) 339-8892
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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