WANDA BONTRAGER

Skilled Nursing Facility

Active Individual
NPI: 1093090730

Practice Address

404 MOUNT VERNON DR
Goshen, IN 46526

Phone: (574) 533-4933

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes 31000534A (IN)

Frequently Asked Questions

NPI 1093090730 is the National Provider Identifier for WANDA BONTRAGER, a Skilled Nursing Facility provider located in Goshen, IN. This NPI was enumerated on October 13, 2011.
WANDA BONTRAGER practices at 404 MOUNT VERNON DR, Goshen, IN 46526.

Quick Facts

NPI
1093090730
Type
Individual
Enumerated
Oct 13, 2011
Last Updated
Oct 13, 2011

Nearby Providers