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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WANDA BONTRAGER

Active Sole Proprietor

WANDA 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 DR
GOSHEN, IN, 465261432
Browse 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.