Organization
NSH PORT WASHINGTON LLC
Active
Other names
Heritage Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HOEHN (MANAGING MEMBER)
(414) 962-5250
Entity
Organization
Contact information
Practice address
1119 N WISCONSIN ST, PORT WASHINGTON, WI 53074-1209
(262) 284-5892
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
08/31/2017
Last updated
08/31/2017
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