Fennimore Snf Operations, LLC
Skilled Nursing Facility in Fennimore, WI. Organization (NPI-2).
NPI number1104776533
StatusActive
Last updated in NPPESFeb 3, 2026
Details
- NPI
- 1104776533
- Entity type
- Organization (NPI-2)
- Legal business name
- Fennimore Snf Operations, LLC
- Organization subpart
- No
- Enumeration date
- Feb 3, 2026
- Certification date
- Feb 3, 2026
- Last updated
- Feb 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
1850 11th StFennimore, WI 53809-1612
Phone 773-825-3336
Mailing address
8170 McCormick Blvd Ste 112Skokie, IL 60076-2914
Phone 773-825-3336
Authorized official
Max Stesel
Manager
7738253336
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