ALDEN ESTATES OF COUNTRYSIDE, INC.; NPI #1023677184

Contact Information

ALDEN ESTATES OF COUNTRYSIDE, INC.

1130 COLLINS RD
JEFFERSON, WI 53549-2939

Phone: 920-674-3170
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	B4[14]	Comprehensive Outpatient Rehabilitation Facility

Indicates primary specialty

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

NPI Number	`1023677184`
LBN Legal business name	ALDEN ESTATES OF COUNTRYSIDE, INC.
Authorized official	JOHN AVELINO - (ACCOUNTS RECEIVABLE MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/11/2019
Last updated	06/11/2019 - About 7 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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