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Judith C. Mann Rn Independent Nurse Llc
Nursing Facility/Intermediate Care Facility in Columbus, Wisconsin
NPI 1215906706

Judith C. Mann Rn Independent Nurse Llc is a Nursing Facility/Intermediate Care Facility based in Columbus, WI. Judith C. Mann Rn Independent Nurse Llc practices in Columbus, WI. The NPI Number for Judith C. Mann Rn Independent Nurse Llc is 1215906706 and holds a License No. 78528-030 (Wisconsin).

The current practice location address for Judith C. Mann Rn Independent Nurse Llc is W987 Hall Rd, Columbus, WI and can be reached out via phone at 920-623-3449 and via fax at 920-623-3742.

Location: W987 Hall Rd, Columbus, WI, 53925-9509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215906706
Provider Name
Judith C. Mann Rn Independent Nurse Llc
Credential
Provider Entity Type
Organization
Address
W987 Hall Rd, Columbus, WI, 53925-9509
Phone Number
920-623-3449
Fax Number
920-623-3742
Provider Enumeration Date
03/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40002800 01 WI PROVIDER # MEDICAID
institution
Provider Business Practice Location Address Details
Address
W987 Hall Rd
City
Columbus
State
Wisconsin
Zip
53925-9509
Phone Number
920-623-3449
Fax Number
920-623-3742
person
Provider Business Mailing Address Details
Address
W987 Hall Rd
City
Columbus
State
Wisconsin
Zip
53925-9509
Phone Number
920-623-3449
Fax Number
920-623-3742
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
78528-030 (Wisconsin)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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