Nsh Superior LLC
Skilled Nursing Facility in Superior, WI. Organization (NPI-2).
NPI number1669914537
StatusActive
Last updated in NPPESDec 29, 2016
Details
- NPI
- 1669914537
- Entity type
- Organization (NPI-2)
- Legal business name
- Nsh Superior LLC
- Organization subpart
- Yes
- Enumeration date
- Nov 9, 2016
- Last updated
- Dec 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Twin Ports Health Services (Doing Business As)
Practice location
1612 N 37th StSuperior, WI 54880-5404
Phone 715-392-5144 · Fax 715-392-1406
Mailing address
5150 N Port Washington RdSuite 260
Glendale, WI 53217-5474
Phone 414-962-5250 · Fax 414-962-5251
Authorized official
Jeffrey Charles Hoehn
Managing Member
4149625250
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