Ssc Pleasant Prairie Operating Company LLC
NPI #1003937475 in Pleasant Prairie, Wisconsin
Provider Information
- NPI Number
- 1003937475
- Entity Type
- Organization
- Organization Name
- Ssc Pleasant Prairie Operating Company LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 3, 2007
- Last Updated
- Nov 17, 2020
Practice Location
- Address
- 10330 PRAIRIE RIDGE BLVD
- City
- Pleasant Prairie
- State
- Wisconsin
- ZIP Code
- 53158-1947
- Phone
- (262) 612-2800
Authorized Official
- Name
- THOMAS P. SIMONS
- Title
- SENIOR VP OPERATIONS FINANCE
- Phone
- (770) 829-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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