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HEYDE HEALTH SYSTEM, INC

Intermediate Care Facility, Mentally Retarded

Bloomer, Wisconsin

Provider NPI: 1790771368

Organization Information:
Organization Name:  HEYDE HEALTH SYSTEM, INC


Practice Location:
14135 150TH AVE  BLOOMER, WI 54724 US
Tel: 715-288-6311  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
WI2970

Other Provider Identifiers:

IssuerNumberStateType
20163600WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS WI - Page 1



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