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NPI Code Detail

MEDICARE: OMRO NURSING AND REHAB, LLC

MEDICARE: OMRO NURSING AND REHAB, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1467920017
Entity Type Code : Organization
Provider Name (Legal Business Name) : OMRO NURSING AND REHAB, LLC
Provider Business Mailing Address
First Line : 8170 MCCORMICK BLVD STE 112
Second Line :
City : SKOKIE
State : IL
Zip : 60076-2914
Country : US
Telephone Number : 773-825-3336
Fax Number : 773-570-4554
Provider Business Practice Location Address
First Line : 500 GRANT AVE
Second Line :
City : OMRO
State : WI
Zip : 54963-1342
Country : US
Telephone Number : 920-685-2755
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF REVENUE
Name : PAMELA RICE
Credential :
Telephone Number : 847-712-8901
Provider Enumeration Date : 11/12/2018
Last Update Date : 09/16/2020

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Directions to “OMRO NURSING AND REHAB, LLC ” Practice Location

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