Organization
NSH SHAWANO-EVERGREEN LLC
Active
Other names
Evergreen Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY HOEHN (MANAGING MEMBER)
(414) 962-5250
Entity
Organization
Contact information
Practice address
1250 S EVERGREEN ST, SHAWANO, WI 54166-3514
(715) 526-3107
Mailing address
5150 N PORT WASHINGTON RD STE 260, MILWAUKEE, WI 53217-5470
(414) 962-5250
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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