Organization
SHEBOYGAN SNF OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIM STESEL (MANAGER)
(773) 825-3336
Entity
Organization
Contact information
Practice address
3014 ERIE AVE, SHEBOYGAN, WI 53081-3658
(920) 459-3028
Mailing address
8170 MCCORMICK BLVD STE 112, SKOKIE, IL 60076-2914
(773) 825-3336
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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