NPI 1295721991

Grancare INC

Organisation Skilled Nursing Facility Fond Du Lac, WI

Practice location

Address: 517 E Division St, Fond Du Lac, WI 54935-3735
Phone: (920) 921-6800
Fax: (920) 921-6875

Authorised official

Name: William L Mackenzie
Title: Administrator
Phone: (920) 921-6800

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 1044 (WI)

Other Skilled Nursing Facility providers in Wisconsin →

Registry record

NPI: 1295721991
Entity type: Organization
NPI issued: 27 Sep 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.