NPI 1003937475

Ssc Pleasant Prairie Operating Company LLC

Organisation Skilled Nursing Facility Pleasant Prairie, WI

Practice location

Address: 10330 Prairie Ridge Blvd, Pleasant Prairie, WI 53158-1947
Phone: (262) 612-2800
Mailing address: 5300 W Sam Houston Pkwy N Suite 100, Houston, TX 77041-5161

Authorised official

Name: Thomas P. Simons
Title: Senior Vp Operations Finance
Phone: (770) 829-5100

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 5005 (WI)

Other Skilled Nursing Facility providers in Wisconsin →

Registry record

NPI: 1003937475
Entity type: Organization
NPI issued: 3 Apr 2007
Record last updated: 17 Nov 2020

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.