Rice Lake Convalescent Center

NPI #1790176816 in Rice Lake, Wisconsin

Provider Information

NPI Number
1790176816
Entity Type
Organization
Organization Name
Rice Lake Convalescent Center
Subpart
Yes (part of a larger organization)
Parent Organization
FIRST AMERICAN ENTERPRISES
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 11, 2015
Last Updated
Feb 11, 2015

Practice Location

Address
1016 LAKESHORE DR
ZIP Code
54868-1225
Phone
(715) 234-9101

Authorized Official

Name
JACKIE DAMASKE
Title
BOM
Phone
(715) 234-9101

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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