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NPI Code Detail

MEDICARE: NURSING HOMES INC.

MEDICARE: NURSING HOMES INC.
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 Facility2249WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063418747
Entity Type Code : Organization
Provider Name (Legal Business Name) : NURSING HOMES INC.
Provider Business Mailing Address
First Line : 245 SYCAMORE ST
Second Line :
City : SAUK CITY
State : WI
Zip : 53583-1013
Country : US
Telephone Number : 608-643-3383
Fax Number : 608-643-2629
Provider Business Practice Location Address
First Line : 245 SYCAMORE ST
Second Line :
City : SAUK CITY
State : WI
Zip : 53583-1013
Country : US
Telephone Number : 608-643-3383
Fax Number : 608-643-2629
Authorized Official
Title or Position : OFFICE MANAGER
Name : JACKIE R NACHREINER
Credential :
Telephone Number : 608-643-3383
Provider Enumeration Date : 06/27/2005
Last Update Date : 12/05/2011

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Directions to “NURSING HOMES INC. ” Practice Location

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