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NPI 1346466083 · live from the CMS NPI Registry

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Skilled Nursing Facility in Osceola, WI. National Provider Identifier 1346466083, active.

NPI record

NPI1346466083 Type 2 · organization
StatusActive
Primary specialtySkilled Nursing Facility 314000000X
Practice location301 River Street, Osceola, WI 54020
Practice phone715-294-5641
Mailing address3530 Lexington Ave N, Shoreview, MN 55126
EnumeratedApril 18, 2007
Last updatedAugust 22, 2020
Authorized officialKathryn Roberts, Ceo
Other namesL.O. Simenstad

Taxonomies and licenses

TaxonomyCodeLicense
Skilled Nursing Facility primary314000000X2329 (WI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.