NPI 1265589303

Theda Care Peabody Manor

Organisation Skilled Nursing Facility Appleton, WI

Practice location

Address: 2600 S Heritage Woods Dr, Appleton, WI 54915-1408
Phone: (920) 225-7764
Mailing address: W7409 Redhawk Dr, Appleton, WI 54914-9153

Authorised official

Name: Toni Marie Radish
Title: Physical Therapist
Phone: (920) 225-7764

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 9771-24 (WI)

Other Skilled Nursing Facility providers in Wisconsin →

Registry record

NPI: 1265589303
Entity type: Organization
NPI issued: 4 Jan 2007
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.