NPI 1295939049
Shell Lake Snf LLC
Practice location
- Address
- 802 E Cty Hwy B, Shell Lake, WI 54871
- Phone
- (715) 468-4292
- Fax
- (715) 468-4232
- Mailing address
- PO Box 642, Sauk Rapids, MN 56379-0642
Authorised official
- Name
- Jonathon William Hansen
- Title
- Ceo
- Phone
- (320) 828-7310
Registered specialties (2)
Nursing Facility/Intermediate Care Facility
Primary
Skilled Nursing Facility
Registry record
- NPI
- 1295939049
- Entity type
- Organization
- NPI issued
- 14 Jun 2007
- Record last updated
- 18 Aug 2025
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.