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NPI Code Detail

MEDICARE: ATTIC ANGEL ASSOCIATION

MEDICARE: ATTIC ANGEL ASSOCIATION
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 Facility1035WI

General Provider Information

NPI Number : 1306833058
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATTIC ANGEL ASSOCIATION
Provider Business Mailing Address
First Line : 8301 OLD SAUK RD
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-4389
Country : US
Telephone Number : 608-662-8842
Fax Number : 608-662-8800
Provider Business Practice Location Address
First Line : 8301 OLD SAUK RD
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-4389
Country : US
Telephone Number : 608-662-8842
Fax Number : 608-662-8800
Authorized Official
Title or Position : CFO
Name : DAVID A MEISTER
Credential : CPA
Telephone Number : 608-662-8847
Provider Enumeration Date : 09/27/2005
Last Update Date : 12/02/2010

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Directions to “ATTIC ANGEL ASSOCIATION ” Practice Location

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