Medicare and Medicaid Participation: Medicare and Medicaid
Number of Ownership Changes: 0
Medicaid Vendor ID: 0800123
Financial End of Year: 08-31
Medicare Administrative Contractor,
Intermediary or Carrier: Wisconsin Physicians Service
CMS Regional Office: Kansas City
Urban or Rural: Rural
Total Beds: 57
Medicare Beds: 57
SNF Beds: 7
Dually Certified Beds: 50
Alzheimer's Beds: 16
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Primary Source: Centers for Medicare & Medicaid Services -
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