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General NPI Number Information
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NPI Number | 1699608125
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Entity Type | Organization
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Legal Business Name | FORREST HILLS LLC.
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 313 W JEFFERSON ST
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City | BLACK RIVER FALLS
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State | WI
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Zip | 54615-1063
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Country | US
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Telephone | 715-670-0080
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Fax |
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Provider Business Mailing Address
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Address Line | 313 W JEFFERSON ST
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City | BLACK RIVER FALLS
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State | WI
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Zip | 54615-1063
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Country | US
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Telephone | 715-670-0080
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES MICHAEL SUCHANEK
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Credential | EMT,PERSONALTRAINER
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Telephone | 715-896-2877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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