Wisconsin Medicaid

NPI #1538353982 in Neenah, Wisconsin

Provider Information

NPI Number
1538353982
Entity Type
Organization
Organization Name
Wisconsin Medicaid
Primary Specialty
Skilled Nursing Facility - Nursing Care, Pediatric
Enumeration Date
Aug 29, 2007
Last Updated
Jul 21, 2022

Practice Location

Address
1528 REMINGTON RD
City
Neenah
ZIP Code
54956-1696
Phone
(920) 729-9887

Authorized Official

Name
MRS. WENDY LEI SELLIER, BSN
Title
RN
Phone
(920) 727-0441

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility - Nursing Care, PediatricNursing Care, Pediatric

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