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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