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JOLEEN LINN
>> Skilled Nursing Facility >> Nursing & Custodial Care FacilitiesRegistrant NPI Number: 1922204254
Individual Registrant: JOLEEN LINN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
W8524 HILLVIEW RD HORTONVILLE, WI 54944-9366 US
Tel: 480-882-8865 Fax: --
Tel: 480-882-8865 Fax: --
Contact information for business:
W8524 HILLVIEW RD HORTONVILLE, WI 54944-9366 US
Tel: 480-882-8865 Fax: --
Tel: 480-882-8865 Fax: --
Registration Information:
NPI: 1922204254
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | AZ | 2767 |
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | WI | 5490-26 |
| N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IA | 077176 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
