Ccg Prescott, INC

NPI #1922090521 in Prescott, Wisconsin

Provider Information

NPI Number
1922090521
Entity Type
Organization
Organization Name
Ccg Prescott, INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 19, 2005
Last Updated
Jan 23, 2008

Practice Location

Address
1505 ORRIN RD
ZIP Code
54021-1074
Phone
(715) 262-5661

Authorized Official

Name
KEITH YODER
Title
CFO
Phone
(614) 416-0600

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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