1840 PRIDDY STREET OPERATING COMPANY, LLC

Skilled Nursing Facility

Active Organization
NPI: 1790141158

Practice Address

1840 PRIDDY ST
Bloomer, WI 54724

Phone: (715) 568-2503

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes 2807 (WI)

Frequently Asked Questions

NPI 1790141158 is the National Provider Identifier for 1840 PRIDDY STREET OPERATING COMPANY, LLC, a Skilled Nursing Facility provider located in Bloomer, WI. This NPI was enumerated on January 14, 2016.

Quick Facts

NPI
1790141158
Type
Organization
Enumerated
Jan 14, 2016
Last Updated
Apr 5, 2016

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