State of Wisconsin
NPI #1366439986 in King, Wisconsin
Provider Information
- NPI Number
- 1366439986
- Entity Type
- Organization
- Organization Name
- State of Wisconsin
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 29, 2005
- Last Updated
- Jan 6, 2026
Practice Location
Authorized Official
- Name
- TAMMY SERVATIUS
- Title
- DIVISION OF HOMES ADMINISTRATOR
- Phone
- (715) 258-4251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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