Extendicare Homes, Inc.

NPI #1790859486 in Sheboygan, Wisconsin

Provider Information

NPI Number
1790859486
Entity Type
Organization
Organization Name
Extendicare Homes, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 17, 2006
Last Updated
Apr 7, 2008

Practice Location

Address
3431 N 13TH ST
ZIP Code
53083-2938
Phone
(920) 457-5046

Authorized Official

Name
DONNA JO MAASSEN
Title
DIRECTOR OF COMPLIANCE
Phone
(414) 908-8119

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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