Fmg East Arndt Street Wisconsin LLC
NPI #1386033181 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1386033181
- Entity Type
- Organization
- Organization Name
- Fmg East Arndt Street Wisconsin LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 16, 2015
- Last Updated
- Jun 25, 2015
Practice Location
- Address
- 115 E ARNDT ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-2461
- Phone
- (920) 923-7040
Authorized Official
- Name
- DAVID KEATING
- Title
- AUTHORIZED OFFICIAL
- Phone
- (414) 908-8058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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