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Crystal Fountains Rehabilitation Center Llc
Skilled Nursing Facility in De Pere, Wisconsin
NPI 1093170813

Crystal Fountains Rehabilitation Center Llc is a Skilled Nursing Facility based in Plover, WI. Crystal Fountains Rehabilitation Center Llc practices in De Pere, WI. The NPI Number for Crystal Fountains Rehabilitation Center Llc is 1093170813 and holds a License No. 3105 (Wisconsin).

The current practice location address for Crystal Fountains Rehabilitation Center Llc is 3737 Dickinson Rd, De Pere, WI and can be reached out via phone at 920-336-7733 and via fax at 920-336-3697.

Location: 3737 Dickinson Rd, De Pere, WI, 54467-3892
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093170813
Provider Name
Crystal Fountains Rehabilitation Center Llc
Credential
Provider Entity Type
Organization
Address
3737 Dickinson Rd, De Pere, WI, 54467-3892
Phone Number
920-336-7733
Fax Number
920-336-3697
Provider Enumeration Date
12/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20171900 05 WI
institution
Provider Business Practice Location Address Details
Address
3737 Dickinson Rd
City
De Pere
State
Wisconsin
Zip
54115-8797
Phone Number
920-336-7733
Fax Number
920-336-3697
person
Provider Business Mailing Address Details
Address
3737 Dickinson Rd
City
De Pere
State
Wisconsin
Zip
54115-8797
Phone Number
920-336-7733
Fax Number
920-336-3697
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
3105 (Wisconsin)
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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