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

CLARK COUNTY

Active Organization

Skilled Nursing Facility · OWEN, WI

Registration Details

NPI Number
1497812697
Provider Type
Organization
NPI Issued
Jan 3, 2007 (19.298740855459 yrs)
Last Updated
Sep 28, 2011
Licenses
3014 (WI)
2387 (WI)

Practice Information

Address
W4266 STATE RD. 29
OWEN, WI, 54460
Browse WI providers · Browse ZIP 54460
Phone
7152292172
Primary Specialty
Skilled Nursing Facility
314000000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Skilled Nursing Facility
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.