NPI | 1194355909 |
---|---|
Doing Business As | EDENBROOK OF APPLETON-NORTH |
Entity Type | Organization |
Authorized Contact | PAMELA RICE Director Of Revenue 847-712-8901 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2020-01-21 |
Last Update Date | 2023-07-31 |