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Wisconsin Medicaid
Pediatric Skilled Nursing Facility in Neenah, Wisconsin
NPI 1538353982

Wisconsin Medicaid is a Pediatric Skilled Nursing Facility based in Neenah, WI and is specialized in Nursing Care, Pediatric. Wisconsin Medicaid practices in Neenah, WI. The NPI Number for Wisconsin Medicaid is 1538353982 and holds a License No. (Wisconsin).

The current practice location address for Wisconsin Medicaid is 1528 Remington Rd, Neenah, WI and can be reached out via phone at 920-729-9887.

Location: 1528 Remington Rd, Neenah, WI, 54956-1320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538353982
Provider Name
Wisconsin Medicaid
Credential
Provider Entity Type
Organization
Address
1528 Remington Rd, Neenah, WI, 54956-1320
Phone Number
920-729-9887
Fax Number
Provider Enumeration Date
08/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1528 Remington Rd
City
Neenah
State
Wisconsin
Zip
54956-1696
Phone Number
920-729-9887
Fax Number
person
Provider Business Mailing Address Details
Address
1528 Remington Rd
City
Neenah
State
Wisconsin
Zip
54956-1696
Phone Number
920-729-9887
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
(Wisconsin)
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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