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NPI Code Detail

MEDICARE: FAMILY HERITAGE NURSING & REHABILITATION CENTER LLC

MEDICARE: FAMILY HERITAGE NURSING & REHABILITATION 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 Facility3211WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861796492
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY HERITAGE NURSING & REHABILITATION CENTER LLC
Provider Business Mailing Address
First Line : 1311 TYLER ST
Second Line :
City : BLACK RIVER FALLS
State : WI
Zip : 54615-1564
Country : US
Telephone Number : 715-284-4396
Fax Number : 715-284-7786
Provider Business Practice Location Address
First Line : 1311 TYLER ST
Second Line :
City : BLACK RIVER FALLS
State : WI
Zip : 54615-1564
Country : US
Telephone Number : 715-284-4396
Fax Number : 715-284-7786
Authorized Official
Title or Position : MANAGING MEMBER
Name : MOSHE ORLINSKY
Credential :
Telephone Number : 314-588-7518
Provider Enumeration Date : 12/22/2010
Last Update Date : 07/12/2011

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Directions to “FAMILY HERITAGE NURSING & REHABILITATION CENTER LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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