NPI | 1295721991 |
---|---|
Doing Business As | GRANCARE NURSING AND REHABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | WILLIAM L MACKENZIE Administrator 920-921-6800 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 1044) |
Enumeration Date | 2005-09-27 |
Last Update Date | 2020-08-22 |