Healthcare Provider Details

I. General information

NPI: 1336913052
Provider Name (Legal Business Name): WEST EAU CLAIRE REHABILITATION AND NURSING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2023
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 TRUAX BLVD
EAU CLAIRE WI
54703-1474
US

IV. Provider business mailing address

1405 TRUAX BLVD
EAU CLAIRE WI
54703-1474
US

V. Phone/Fax

Practice location:
  • Phone: 715-552-1030
  • Fax:
Mailing address:
  • Phone: 715-930-6002
  • Fax: 715-552-1033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ISAAK MARKOVITS
Title or Position: MANAGING MEMBER
Credential:
Phone: 608-448-6200