Shell Lake Snf LLC
NPI #1295939049 in Shell Lake, Wisconsin
Provider Information
- NPI Number
- 1295939049
- Entity Type
- Organization
- Organization Name
- Shell Lake Snf LLC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Jun 14, 2007
- Last Updated
- Aug 18, 2025
Practice Location
- Address
- 802 E CTY HWY B
- City
- Shell Lake
- State
- Wisconsin
- ZIP Code
- 54871
- Phone
- (715) 468-4292
Authorized Official
- Name
- JONATHON WILLIAM HANSEN
- Title
- CEO
- Phone
- (320) 828-7310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
| Nursing Facility/Intermediate Care Facility |
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