DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STATE OF WISCONSIN

Active Organization

STATE OF WISCONSIN is a Skilled Nursing Facility organization located in KING, Wisconsin. NPI 1366439986 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · KING, WI

Registration Details

NPI Number
1366439986
Provider Type
Organization
NPI Issued
Sep 29, 2005 (20.832938988343 yrs)
Last Updated
Jan 6, 2026
License
2485 (WI)

Practice Information

Address
N2665 COUNTY ROAD QQ
KING, WI, 54946
Browse WI providers · Browse ZIP 54946
Phone
7152585586
Fax
7152581677
Primary Specialty
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.