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Organization
PESHTIGO HEALTH CARE, LLC
Active
Organization
PESHTIGO HEALTH CARE, LLC
Active
Other names
Whispering Oaks Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIMONE M MILLER NHA (ADMINISTRATOR)
(715) 582-4148
Entity
Organization
Contact information
Practice address
620 HARPER AVE, PESHTIGO, WI 54157-1134
(715) 582-4148
(715) 582-4756
Mailing address
620 HARPER AVE, PESHTIGO, WI 54157-1134
(715) 582-4148
(715) 582-4756
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2989
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20183500
—
WI
05
—
4113343
—
MI
Enumeration date
05/24/2005
Last updated
08/22/2020
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