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Contact Information

DYCORA TRANSITIONAL HEALTH - ABBOTSFORD LLC
600 E ELM ST
ABBOTSFORD, WI54405-9682
 Phone: 715-223-2359
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for DYCORA TRANSITIONAL HEALTH - ABBOTSFORD LLC

NPI # 1003368200
LBN Legal business name DYCORA TRANSITIONAL HEALTH - ABBOTSFORD LLC
Authorized official MARY HAWKINS - (EXECUTIVE)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2016
Last updated 01/25/2018 - More than a year ago
Identifiers
WI License # 2874
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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