NPI 1003988049

County of Sheboygan

Organisation Skilled Nursing Facility Plymouth, WI

Practice location

Address: N7135 Rocky Knoll Pkwy, Plymouth, WI 53073-3103
Phone: (920) 467-6464
Fax: (920) 893-0500

Authorised official

Name: Michael J Taubenheim
Title: Administrator
Phone: (920) 893-9205

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 2362 (WI)

Other Skilled Nursing Facility providers in Wisconsin →

Registry record

NPI: 1003988049
Entity type: Organization
NPI issued: 14 Nov 2006
Record last updated: 7 Feb 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.