Whalio Doctors

NPI 1336199520

Extendicare Homes, INC.

Organisation Skilled Nursing Facility Fond Du Lac, WI

Practice location

Address
115 E Arndt St, Fond Du Lac, WI 54935-2461
Phone
(920) 923-7040
Mailing address
111 W Michigan St, Milwaukee, WI 53203-2903

Authorised official

Name
Donna J Maassen
Title
Privacy Officer
Phone
(414) 908-8119

Registered specialties

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X

Registry record

NPI
1336199520
Entity type
Organization
NPI issued
11 May 2006
Record last updated
7 Apr 2008

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.