NPI 1336199520
Extendicare Homes, INC.
Practice location
- Address
- 115 E Arndt St, Fond Du Lac, WI 54935-2461
- Phone
- (920) 923-7040
- Mailing address
- 111 W Michigan St, Milwaukee, WI 53203-2903
Authorised official
- Name
- Donna J Maassen
- Title
- Privacy Officer
- Phone
- (414) 908-8119
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1336199520
- Entity type
- Organization
- NPI issued
- 11 May 2006
- Record last updated
- 7 Apr 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.