Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WANDA BONTRAGER
Active Sole ProprietorWANDA BONTRAGER is a Skilled Nursing Facility healthcare provider located in GOSHEN, Indiana. NPI 1093090730 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · GOSHEN, IN
Registration Details
- NPI Number
- 1093090730
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 13, 2011 (14.811163735757 yrs)
- Last Updated
- Oct 13, 2011
- License
-
31000534A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
404 MOUNT VERNON DRGOSHEN, IN, 465261432Browse IN providers · Browse ZIP 46526
- Phone
- 5745334933
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.