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NPI Code Detail

MEDICARE: FIRST AMERICAN ENTERPRISES, INC

MEDICARE: FIRST AMERICAN ENTERPRISES, 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 Facility2463WI

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 : 1801892435
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST AMERICAN ENTERPRISES, INC
Provider Business Mailing Address
First Line : 19 WEST NEWTON ST
Second Line :
City : RICE LAKE
State : WI
Zip : 54868-1744
Country : US
Telephone Number : 715-234-2161
Fax Number : 715-234-1705
Provider Business Practice Location Address
First Line : 19 WEST NEWTON ST
Second Line :
City : RICE LAKE
State : WI
Zip : 54868-1744
Country : US
Telephone Number : 715-234-2161
Fax Number : 715-234-1705
Authorized Official
Title or Position : ADMINISTRATOR
Name : DARLENE A DENUCCI
Credential :
Telephone Number : 715-234-2161
Provider Enumeration Date : 06/28/2005
Last Update Date : 07/14/2008

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Directions to “FIRST AMERICAN ENTERPRISES, INC ” Practice Location

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