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MARYWOOD CONVALESCENT CENTER

Skilled Nursing Facility

Wausau, Wisconsin

Provider NPI: 1922001247

Organization Information:
Organization Name:  MARYWOOD CONVALESCENT CENTER


Practice Location:
1821 N 4TH AVE  WAUSAU, WI 54401 US
Tel: 715-675-9451  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
WI2674

Other Provider Identifiers:

IssuerNumberStateType
20109300WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




SKILLED NURSING JOBS WI - Page 1