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State Of Wisconsin
Skilled Nursing Facility in Union Grove, Wisconsin
NPI 1225152861

State Of Wisconsin is a Skilled Nursing Facility based in Union Grove, WI. State Of Wisconsin practices in Union Grove, WI. The NPI Number for State Of Wisconsin is 1225152861 and holds a License No. 5024 (Wisconsin).

The current practice location address for State Of Wisconsin is 21425G Spring St, Union Grove, WI and can be reached out via phone at 262-878-6700 and via fax at 262-878-6758.

Location: 21425G Spring St, Union Grove, WI, 53182-9707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225152861
Provider Name
State Of Wisconsin
Credential
Provider Entity Type
Organization
Address
21425G Spring St, Union Grove, WI, 53182-9707
Phone Number
262-878-6700
Fax Number
262-878-6758
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20197800 05 WI
institution
Provider Business Practice Location Address Details
Address
21425G Spring St
City
Union Grove
State
Wisconsin
Zip
53182-9707
Phone Number
262-878-6700
Fax Number
262-878-6758
person
Provider Business Mailing Address Details
Address
21425G Spring St
City
Union Grove
State
Wisconsin
Zip
53182-9707
Phone Number
262-878-6700
Fax Number
262-878-6758
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
5024 (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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