NPI 1316939861

Evergreen Care Center LLC

Organisation Skilled Nursing Facility Shawano, WI

Practice location

Address: 1250 S Evergreen St, Shawano, WI 54166-3514
Phone: (715) 526-3107
Fax: (715) 524-8037
Mailing address: 1726 N Ballard Rd, Appleton, WI 54911-2444

Authorised official

Name: Robert M Parkins
Title: Cfo
Phone: (920) 364-9754

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 2896 (WI)

Other Skilled Nursing Facility providers in Wisconsin →

Registry record

NPI: 1316939861
Entity type: Organization
NPI issued: 19 Aug 2005
Record last updated: 27 May 2015

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.