North Oak Health Care Wisteria Haus LLC
NPI #1417466152 in Two Rivers, Wisconsin
Provider Information
- NPI Number
- 1417466152
- Entity Type
- Organization
- Organization Name
- North Oak Health Care Wisteria Haus LLC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Sep 26, 2017
- Last Updated
- Aug 14, 2020
Practice Location
- Address
- 2741 45TH ST
- City
- Two Rivers
- State
- Wisconsin
- ZIP Code
- 54241-1002
- Phone
- (847) 612-0750
Authorized Official
- Name
- MR. DEAN CARL MASCHOFF
- Title
- MEMBER
- Phone
- (847) 612-0750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
| Nursing Facility/Intermediate Care Facility |
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