Wisconsin Medicaid

NPI 1538353982 - Skilled Nursing Facility - 3140N1450X

NPI Details
NPI 1538353982
Enumeration Date 08/29/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WENDY LEI WENDY
Position RN
Phone (920) 729-9887
Fax
Practice Location
1528 REMINGTON RD
NEENAH WI, 54956-1696, US
Phone (920) 729-9887
Fax
Business Location
979 HIGHLAND PARK RD
NEENAH WI, 54956-1320, US
Phone (920) 727-0441
Fax
Toxanomy
Taxonomy Code 3140N1450X
License State Wisconsin
License Number =========
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According to our database, Wisconsin Medicaid NPI is 1538353982, taxonomy code is 3140N1450X and license number is =========, license state is located at Wisconsin. Wisconsin Medicaid physically located at 1528 Remington Rd, Neenah WI, 54956-1696. NPI Number 1033115704 has the healthcare provider type.

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1538353982 NPI number is provided on an as is basis without warranty of any kind. 1538353982 is maintained by the National Plan & Provider Enumeration System. The contents of Wisconsin Medicaid are for informational purposes only.