Willowbrook Nursing & Rehabilitation Center

LBN: Extendicare Health Facilities, Inc.
Willowbrook Nursing & Rehabilitation Center is an health care organization with primary practice located at 901 Mulberry St , Lake Mills WI 53551-1335. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Extendicare Health Facilities, Inc. can be contacted via phone (920) 648-8344, or through Maassen, Donna Jo via phone (414) 908-8119.

Contact Information

Primary practice address
901 Mulberry St Lake Mills WI 53551-1335
Phone: (920) 648-8344
Fax: (920) 648-3441
Website:
Map and Directions
Authorized official contact:
Name: Maassen, Donna Jo
Phone: (414) 908-8119

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1730251463
LBN Legal business name Extendicare Health Facilities, Inc.
DBA Doing business as Willowbrook Nursing & Rehabilitation Center
Authorized official Maassen, Donna Jo
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730251463 NPPES
Wisconsin MEDICAID 20116200

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