Fmg New Pine Drive Wisconsin Llc is a health care provider in Altoona, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||2512 New Pine Dr, Altoona, WI 54720-1378, US|
|Practice Location Phone||715-833-0400|
|Practice Location Fax||715-833-0546|
|Legal Business Name||FMG NEW PINE DRIVE WISCONSIN LLC|
|Other Organization Name||OAKWOOD VILLA|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Jan 16, 2015|
|Last Update Date ?||Jan 16, 2015|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Skilled Nursing Facility||Nursing & Custodial Care Facilities|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Fmg New Pine Drive Wisconsin Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||David Keating|
|Authorized Official Title/Position||AUTHORIZED OFFICIAL|
|Authorized Official Phone Number||414-908-8058|