NPI 1003358979
Nsh Golden Age LLC
Practice location
- Address
- 720 E King Rd, Tomahawk, WI 54487-1513
- Phone
- (715) 453-2164
- Fax
- (715) 453-1066
- Mailing address
- 5150 N Port Washington Rd Suite 260, Glendale, WI 53217-5474
Authorised official
- Name
- Jeffrey Charles Hoehn
- Title
- Managing Member
- Phone
- (414) 962-5250
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1003358979
- Entity type
- Organization
- NPI issued
- 9 Nov 2016
- Record last updated
- 29 Dec 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.