| NPI | 1013915339 |
|---|---|
| Doing Business As | EDGEWATER HAVEN NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | KYLE THEILER Administrator 715-885-8324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2369) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2022-09-09 |