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NPI Code Detail

MEDICARE: OAK PARK NURSING AND REHAB CENTER LLC

MEDICARE: OAK PARK NURSING AND REHAB CENTER 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 Facility2858WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11040542OTHERWIPHYSICIANS PLUS INS. CORP
2573392OTHERWIDEAN HEALTH PLAN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740283308
Entity Type Code : Organization
Provider Name (Legal Business Name) : OAK PARK NURSING AND REHAB CENTER LLC
Provider Business Mailing Address
First Line : 718 JUPITER DRIVE
Second Line :
City : MADISON
State : WI
Zip : 53718-2950
Country : US
Telephone Number : 608-663-8600
Fax Number : 608-251-2868
Provider Business Practice Location Address
First Line : 718 JUPITER DRIVE
Second Line :
City : MADISON
State : WI
Zip : 53718-2950
Country : US
Telephone Number : 608-663-8600
Fax Number : 608-251-2868
Authorized Official
Title or Position : CEO
Name : SCOTT FRANK
Credential :
Telephone Number : 608-663-8600
Provider Enumeration Date : 05/27/2005
Last Update Date : 03/05/2015

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Directions to “OAK PARK NURSING AND REHAB CENTER LLC ” Practice Location

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