NPI 1669543286

Prairie Village Care, LLC

Organisation Skilled Nursing Facility Washington, IN

Practice location

Address: 801 S State Road 57, Washington, IN 47501-4373
Phone: (812) 254-4516
Fax: (812) 254-4765
Mailing address: 111 W Michigan St, Milwaukee, WI 53203-2903

Authorised official

Name: Donna Jo Maassen
Title: Director of Compliance
Phone: (414) 908-8119

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1669543286
Entity type: Organization
NPI issued: 13 Nov 2006
Record last updated: 1 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.