Wanda Bontrager
Skilled Nursing Facility · Goshen, IN
Practice location
404 Mount Vernon DrGoshen, IN 46526-1432
- Phone
- (574) 533-4933
NPI record
- NPI
- 1093090730
- Entity type
- Individual (Type 1)
- Enumeration date
- October 13, 2011
- Last updated
- October 13, 2011
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X |
31000534A | IN |
About Wanda Bontrager
Wanda Bontrager is a healthcare provider registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 404 Mount Vernon Dr, Goshen, IN 46526-1432. The NPI number 1093090730 was assigned on October 13, 2011 and the record was last updated on October 13, 2011.
Wanda Bontrager lists a license in the registry: #31000534A (IN) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Wanda Bontrager?
The NPI number is 1093090730.
What is the phone number of Wanda Bontrager?
The phone number listed for the practice location is (574) 533-4933.
Where is Wanda Bontrager located?
404 Mount Vernon Dr, Goshen, IN 46526-1432.
What is the taxonomy code for Wanda Bontrager?
The primary taxonomy code is 314000000X – Skilled Nursing Facility.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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