Organization · Type 2 NPI

FMG Davis Street SNF Wisconsin LLC

Skilled Nursing Facility · Hammond, WI

NPI number 1104215060 Active

Practice location

425 Davis St
Hammond, WI 54015-9615

Call (715) 796-2218 Map

Fax (715) 796-5286

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (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 r…

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About NPI 1104215060

FMG Davis Street SNF Wisconsin LLC's National Provider Identifier is 1104215060, issued on Jan 15, 2015. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Hammond, WI. The record was last updated on Jan 16, 2015.