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Organization

NSH SUN PRAIRIE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFF HOEHN (MANAGING MEMBER)
(414) 962-5250
Entity
Organization

Contact information

Practice address
41 RICKEL RD, SUN PRAIRIE, WI 53590-1840
(608) 837-8529
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
09/01/2017
Last updated
09/01/2017
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