Dycora Transitional Health - Beaver Dam LLC
NPI #1992257109 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1992257109
- Entity Type
- Organization
- Organization Name
- Dycora Transitional Health - Beaver Dam LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 4, 2016
- Last Updated
- Jan 25, 2018
Practice Location
- Address
- 410 ROEDL CT
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-2934
- Phone
- (920) 887-7191
Authorized Official
- Name
- MARY HAWKINS
- Title
- EXECUTIVE
- Phone
- (920) 887-7191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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