WAYNE BACKMAN

STOUGHTON, WI
NPI1437561669
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: WI  2128-19)
Enumeration Date2014-05-22
Last Update Date2014-05-22
Business Address
Mr. WAYNE BACKMAN 2128-19
400 N MORRIS ST
STOUGHTON, WI 53589-1857
Phone number: 608-873-5651
Mailing Address
Mr. WAYNE BACKMAN 2128-19
400 N MORRIS ST
STOUGHTON, WI 53589-1857
Phone number: 608-873-5651
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