Organization
NSH FOND DU LAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HOEHN (MANAGING MEMBER)
(414) 962-5250
Entity
Organization
Contact information
Practice address
115 E ARNDT ST, FOND DU LAC, WI 54935-2461
(920) 923-7040
Mailing address
5150 N PORT WASHINGTON RD STE 260, MILWAUKEE, WI 53217-5470
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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