NPI 1013386614

Shawano Health Services LLC

Organisation Skilled Nursing Facility Shawano, WI

Practice location

Address: 1436 S Lincoln St, Shawano, WI 54166-3427
Phone: (715) 526-6111
Fax: (715) 524-5708
Mailing address: 5536 N Kent Ave, Whitefish Bay, WI 53217-5155

Authorised official

Name: Jeffrey Charles Hoehn
Title: Member Manager
Phone: (636) 698-8600

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 3175 (WI)

Other Skilled Nursing Facility providers in Wisconsin →

Registry record

NPI: 1013386614
Entity type: Organization
NPI issued: 24 Sep 2015
Record last updated: 24 Sep 2015

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.