IDA LYN STEVENSON

MONROE, WI
NPI1821265638
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
Enumeration Date2008-05-12
Last Update Date2020-10-19
Business Address
IDA LYN STEVENSON COTA/L
2903 13TH ST
MONROE, WI 53566-2245
Phone number: 608-558-6032
Mailing Address
IDA LYN STEVENSON COTA/L
2903 13TH ST
MONROE, WI 53566-2245
Phone number: 608-558-6032