# NSH RIB LAKE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NSHG WISCONSIN LLC
- **Other names:** Rib Lake Health Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831631704
- **Legal business name:** NSHG WISCONSIN LLC
- **Authorized official:** JEFFREY CHARLES HOEHN (MANAGING MEMBER)
- **Authorized official phone:** (414) 962-5250

## Contact information

- **Practice address:** 650 PEARL ST, RIB LAKE, WI 54470-9322
- **Practice address phone:** (715) 427-5291
- **Practice address fax:** (715) 427-5848
- **Mailing address:** 5150 N PORT WASHINGTON RD, SUITE 260, GLENDALE, WI 53217-5474
- **Mailing address phone:** (414) 962-5250
- **Mailing address fax:** (414) 962-5251

## Taxonomy

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

## Other

- **Enumeration date:** 11/09/2016
- **Last updated:** 12/29/2016