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Contact Information

MUSKEGO NURSING HOME INC.
S. 77-W. 18690 JANESVILLE RD
MUSKEGO, WI53150
 Phone: 262-679-0246
 Fax: 262-679-9717
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for MUSKEGO NURSING HOME INC.

NPI # 1306881594
LBN Legal business name MUSKEGO NURSING HOME INC.
Authorized official HAROLD SWANTO - (OWNER/ADMIN/PRES.)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2006
Last updated 07/21/2011 - About 15 years ago
Identifiers
WI License # 1089
WI Medicaid 20153000
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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