NPI | 1215011317 |
---|---|
Doing Business As | LINCOLN VILLAGE CONVALESCENT CENTER |
Entity Type | Organization |
Authorized Contact | JERRY GLEN APPLE Chief Financial Officer 262-898-2722 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2269) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2020-08-22 |