NPI 1013435536

Nsh Fond Du Lac LLC

Organisation Skilled Nursing Facility Fond Du Lac, WI

Practice location

Address: 115 E Arndt St, Fond Du Lac, WI 54935-2461
Phone: (920) 923-7040
Mailing address: 5150 N Port Washington Rd STE 260, Milwaukee, WI 53217-5470

Authorised official

Name: Jeff Hoehn
Title: Managing Member
Phone: (414) 962-5250

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1013435536
Entity type: Organization
NPI issued: 5 Sep 2017
Record last updated: 5 Sep 2017

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.