NPI 1023011939

Peshtigo Health Care, LLC

Organisation Skilled Nursing Facility Peshtigo, WI

Practice location

Address: 620 Harper Ave, Peshtigo, WI 54157-1134
Phone: (715) 582-4148
Fax: (715) 582-4756

Authorised official

Name: Simone M Miller
Title: Administrator
Phone: (715) 582-4148

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 2989 (WI)

Other Skilled Nursing Facility providers in Wisconsin →

Registry record

NPI: 1023011939
Entity type: Organization
NPI issued: 24 May 2005
Record last updated: 22 Aug 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.