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Organization
STATE OF WISCONSIN
Active
Organization
STATE OF WISCONSIN
Active
Other names
The Wisconsin Veterans Home At King
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY SERVATIUS (DIVISION OF HOMES ADMINISTRATOR)
(715) 258-4251
Entity
Organization
Contact information
Practice address
N2665 COUNTY ROAD QQ, KING, WI 54946
(715) 258-5586
(715) 258-1677
Mailing address
N2665 COUNTY ROAD QQ, KING, WI 54946-0600
(715) 258-5586
(715) 258-1677
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2485
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20135000
—
WI
Enumeration date
09/29/2005
Last updated
01/06/2026
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