NPI 1417466152

North Oak Health Care Wisteria Haus LLC

Organisation Nursing Facility/Intermediate Care Facility Two Rivers, WI

Practice location

Address: 2741 45th St, Two Rivers, WI 54241-1002
Phone: (847) 612-0750
Fax: (920) 794-4057
Mailing address: 1025 Shermer Rd, Northbrook, IL 60062-3730

Authorised official

Name: Dean Carl Maschoff
Title: Member
Phone: (847) 612-0750

Registered specialties (2)

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 0016823 (WI)

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Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1417466152
Entity type: Organization
NPI issued: 26 Sep 2017
Record last updated: 14 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.