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Beverly Enterprises - Wisconsin Inc

Beverly Enterprises - Wisconsin Inc is a health care provider in Wisconsin Dells, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 300 Race St, Wisconsin Dells, WI 53965-1822, US
Practice Location Phone608-254-2574
Practice Location Fax
Legal Business NameBEVERLY ENTERPRISES - WISCONSIN INC
Other Organization NameGOLDEN LIVINGCENTER - WISCONSIN DELLS
Other Organization Name TypeDoing Business As Name
NPI ?1972550176
Entity TypeOrganization
Enumeration Date ? May 31, 2006
Last Update Date ? Jul 17, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Beverly Enterprises - Wisconsin Inc

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility

legacy-id-icon Legacy Provider IDs of Beverly Enterprises - Wisconsin Inc

Provider IdIssuer StateIssuer TypeIssuer
20-1194-00WisconsinMedicaid
525391WisconsinOtherSECURITY HP

official-icon Authorized Official of Beverly Enterprises - Wisconsin Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Beverly Enterprises - Wisconsin Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Holly A Rasmussen-jones
Authorized Official Title/PositionSECRETARY
Authorized Official Phone Number479-201-4835