STEPHANIE LYNN HOLLAND

KENOSHA, WI
NPI1114191392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: WI  2048-027)
Enumeration Date2008-04-17
Last Update Date2008-04-17
Business Address
-- STEPHANIE LYNN HOLLAND COTA
8633 32ND AVE
KENOSHA, WI 53142-5187
Phone number: 262-694-8800
Mailing Address
-- STEPHANIE LYNN HOLLAND COTA
542 NEWMAN RD
RACINE, WI 53406-3454
Phone number:
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