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Ccc Of West Green Bay
Skilled Nursing Facility in Green Bay, Wisconsin
NPI 1073099495

Ccc Of West Green Bay is a Skilled Nursing Facility based in Skokie, WI. Ccc Of West Green Bay practices in Green Bay, WI. The NPI Number for Ccc Of West Green Bay is 1073099495 and holds a License No. (Wisconsin).

The current practice location address for Ccc Of West Green Bay is 1760 Shawano Ave, Green Bay, WI and can be reached out via phone at 847-983-4860.

Location: 1760 Shawano Ave, Green Bay, WI, 60076-2974
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073099495
Provider Name
Ccc Of West Green Bay
Credential
Provider Entity Type
Organization
Address
1760 Shawano Ave, Green Bay, WI, 60076-2974
Phone Number
847-983-4860
Fax Number
Provider Enumeration Date
07/18/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000000 05 WI
institution
Provider Business Practice Location Address Details
Address
1760 Shawano Ave
City
Green Bay
State
Wisconsin
Zip
54303-3216
Phone Number
847-983-4860
Fax Number
person
Provider Business Mailing Address Details
Address
1760 Shawano Ave
City
Green Bay
State
Wisconsin
Zip
54303-3216
Phone Number
847-983-4860
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
()
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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