# NSH ELLSWORTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ellsworh Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063055986
- **Authorized official:** JEFFREY HOEHN (MANAGING MEMBER)
- **Authorized official phone:** (414) 962-5250

## Contact information

- **Practice address:** 403 N MAPLE ST, ELLSWORTH, WI 54011-9037
- **Practice address phone:** (715) 273-5821
- **Practice address fax:** (715) 273-6182
- **Mailing address:** 5150 N PORT WASHINGTON RD, MILWAUKEE, WI 53217-5474
- **Mailing address phone:** (414) 962-5250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/23/2019
- **Last updated:** 10/23/2019