National Provider Identifier Database

ALDEN ESTATES OF COUNTRYSIDE INC
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)


Contact Information

ALDEN ESTATES OF COUNTRYSIDE, INC.
1130 COLLINS RD
JEFFERSON, WI53549-2939
Phone: 920-674-3170
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for ALDEN ESTATES OF COUNTRYSIDE, INC.

NPI Number 1023677184
Legal business name
LBN
ALDEN ESTATES OF COUNTRYSIDE, INC.
Authorized official JOHN AVELINO - (ACCOUNTS RECEIVABLE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/11/2019
Last updated 06/11/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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