WISCONSIN MEDICAID
Nursing Care, Pediatric
Neenah, Wisconsin
Provider NPI: 1538353982
Organization Information:Organization Name: WISCONSIN MEDICAID
Practice Location:
1528 REMINGTON RD NEENAH, WI 54956 US
Tel: 920-729-9887 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
1528 REMINGTON RD NEENAH, WI 54956 US
Tel: 920-729-9887 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | WI | ========= |