Fond Du Lac County
NPI #1659358323 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1659358323
- Entity Type
- Organization
- Organization Name
- Fond Du Lac County
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 23, 2005
- Last Updated
- Jul 16, 2019
Practice Location
- Address
- 459 E 1ST ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-4505
- Phone
- (920) 929-3543
Authorized Official
- Name
- MARK RADMER
- Title
- ADMINISTRATOR
- Phone
- (920) 929-3309
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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