Heritage Elroy Operations LLC

NPI #1912452574 in Elroy, Wisconsin

Provider Information

NPI Number
1912452574
Entity Type
Organization
Organization Name
Heritage Elroy Operations LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 23, 2016
Last Updated
Aug 23, 2016

Practice Location

Address
307 ROYALL AVE
City
Elroy
ZIP Code
53929-1044
Phone
(608) 462-8491

Authorized Official

Name
MR. EPHRAM LAHASKY
Title
MANAGER/MEMBER
Phone
(646) 772-3668

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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