Nsh South Shore LLC

NPI #1134671308 in St Francis, Wisconsin

Provider Information

NPI Number
1134671308
Entity Type
Organization
Organization Name
Nsh South Shore LLC
Subpart
Yes (part of a larger organization)
Parent Organization
NSHC WISCONSIN LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 3, 2016
Last Updated
Dec 29, 2016

Practice Location

Address
1915 E TRIPOLI AVE
ZIP Code
53235-4142
Phone
(414) 962-5250

Authorized Official

Name
JEFFREY CHARLES HOEHN
Title
MANAGING MEMBER
Phone
(414) 962-5250

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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