Organization
SHAWANO HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY CHARLES HOEHN (MEMBER MANAGER)
(636) 698-8600
Entity
Organization
Contact information
Practice address
1436 S LINCOLN ST, SHAWANO, WI 54166-3427
(715) 526-6111
(715) 524-5708
Mailing address
5536 N KENT AVE, WHITEFISH BAY, WI 53217-5155
(636) 698-8600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3175
WI
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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