<Unavail>

LBN: Sannes Skogdalen Nursing Facility Llc
<Unavail> is an health care organization with primary practice located at 101 Sunshine Blvd , Soldiers Grove WI 54655-0177. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Sannes Skogdalen Nursing Facility Llc can be contacted via phone (608) 624-5244, or through Carley, Jacqueline H via phone (608) 624-5244.

Contact Information

Primary practice address
101 Sunshine Blvd Soldiers Grove WI 54655-0177
Phone: (608) 624-5244
Fax: (608) 624-3478
Website:
Map and Directions
Authorized official contact:
Name: Carley, Jacqueline H CFO/NHA
Phone: (608) 624-5244

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2607 Wisconsin

Profile Details

NPI number 1134208218
LBN Legal business name Sannes Skogdalen Nursing Facility Llc
DBA Doing business as <Unavail>
Authorized official Carley, Jacqueline H CFO/NHA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2006
Last updated Dec 26th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134208218 NPPES
Wisconsin Other 525622 MEDICARE PROVIDER NUMBER
Wisconsin Other 20193600 MEDICARE PROVIDER NUMBER

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