NPI 1083937759
VA Health Care System (644)
Practice location
- Address
- 911 Skyview Ave, Little Chute, WI 54140-2627
- Phone
- (920) 915-1499
Authorised official
- Name
- Daniel T Fale
- Title
- Registered Nurse
- Phone
- (920) 915-1499
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1083937759
- Entity type
- Organization
- NPI issued
- 9 Mar 2010
- Record last updated
- 9 Mar 2010
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.