Provider Demographics
NPI:1306095377
Name:BISKOBING ENTERPRISES, INC.
Entity type:Organization
Organization Name:BISKOBING ENTERPRISES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / PROGRAM COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BISKOBING
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:262-335-3789
Mailing Address - Street 1:1207 FIRETHORN DR
Mailing Address - Street 2:
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53090-5443
Mailing Address - Country:US
Mailing Address - Phone:262-335-3789
Mailing Address - Fax:262-335-3789
Practice Address - Street 1:1205 FIRETHORN DR
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53090-5443
Practice Address - Country:US
Practice Address - Phone:262-751-3789
Practice Address - Fax:262-335-3789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home