CRYSTAL FOUNTAINS REHABILITATION CENTER LLC

Skilled Nursing Facility

Active Organization
NPI: 1093170813

Practice Address

3737 DICKINSON RD
De Pere, WI 54115

Phone: (920) 336-7733

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes 3105 (WI)

Frequently Asked Questions

NPI 1093170813 is the National Provider Identifier for CRYSTAL FOUNTAINS REHABILITATION CENTER LLC, a Skilled Nursing Facility provider located in De Pere, WI. This NPI was enumerated on December 21, 2015.

Quick Facts

NPI
1093170813
Type
Organization
Enumerated
Dec 21, 2015
Last Updated
Dec 21, 2015

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