Nsh Shawano-Evergreen LLC

NPI #1548803497 in Shawano, Wisconsin

Provider Information

NPI Number
1548803497
Entity Type
Organization
Organization Name
Nsh Shawano-Evergreen LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 23, 2019
Last Updated
Oct 23, 2019

Practice Location

Address
1250 S EVERGREEN ST
ZIP Code
54166-3514
Phone
(715) 526-3107

Authorized Official

Name
JEFFREY HOEHN
Title
MANAGING MEMBER
Phone
(414) 962-5250

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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