NPI 1548803497

Nsh Shawano-Evergreen LLC

Organisation Skilled Nursing Facility Shawano, WI

Practice location

Address: 1250 S Evergreen St, Shawano, WI 54166-3514
Phone: (715) 526-3107
Mailing address: 5150 N Port Washington Rd STE 260, Milwaukee, WI 53217-5470

Authorised official

Name: Jeffrey Hoehn
Title: Managing Member
Phone: (414) 962-5250

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1548803497
Entity type: Organization
NPI issued: 23 Oct 2019
Record last updated: 23 Oct 2019

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.