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Organization
ST. FRANCIS HOME OF FOND DU LAC WISCONSIN, INC
Active
Organization
ST. FRANCIS HOME OF FOND DU LAC WISCONSIN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS D. TROST (CEO/ADMINISTRATOR)
(920) 926-6068
Entity
Organization
Contact information
Practice address
33 EVERETT ST, FOND DU LAC, WI 54935
(920) 926-7980
(920) 923-7995
Mailing address
33 EVERETT ST, FOND DU LAC, WI 54935-4318
(920) 923-7980
(920) 923-7995
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
10373
WI
314000000X
Skilled Nursing Facility
Primary
2561
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20158100
—
WI
Enumeration date
10/19/2005
Last updated
08/23/2018
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