NPI 1003951468

Fond Du Lac County

Organisation Skilled Nursing Facility Fond Du Lac, WI

Practice location

Address: 459 East First Street, Fond Du Lac, WI 54935-4505
Phone: (920) 929-3500
Fax: (920) 929-7046

Authorised official

Name: Steve T Handrich
Title: Administrator
Phone: (920) 929-3309

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 2383 (WI)

Other Skilled Nursing Facility providers in Wisconsin →

Registry record

NPI: 1003951468
Entity type: Organization
NPI issued: 21 Feb 2007
Record last updated: 1 Oct 2008

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.