NPI 1730187238

Tdr, INC.

Organisation Skilled Nursing Facility Peshtigo, WI

Practice location

Address: 701 Willow St, Peshtigo, WI 54157-1165
Phone: (715) 582-3962
Mailing address: 261 French St, Peshtigo, WI 54157-1217

Authorised official

Name: Neil Johnson
Title: Treasurer
Phone: (715) 582-2200

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 3118 (WI)

Other Skilled Nursing Facility providers in Wisconsin →

Registry record

NPI: 1730187238
Entity type: Organization
NPI issued: 8 Jul 2005
Record last updated: 22 Jan 2009

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.