County of Wood
NPI #1013915339 in Port Edwards, Wisconsin
Provider Information
- NPI Number
- 1013915339
- Entity Type
- Organization
- Organization Name
- County of Wood
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 11, 2005
- Last Updated
- Sep 9, 2022
Practice Location
- Address
- 1351 WISCONSIN RIVER DR
- City
- Port Edwards
- State
- Wisconsin
- ZIP Code
- 54469-1041
- Phone
- (715) 885-8300
Authorized Official
- Name
- KYLE THEILER, NHA
- Title
- ADMINISTRATOR
- Phone
- (715) 885-8324
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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