Organization · Type 2 NPI

Shell Lake SNF LLC

Nursing Facility/Intermediate Care Facility · Shell Lake, WI

NPI number 1295939049 Active

Practice location

802 E Cty Hwy B
Shell Lake, WI 54871

Fax (715) 468-4232

Mailing address

PO Box 642
Sauk Rapids, MN 56379-0642

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X2748 (WI)
Skilled Nursing Facility 314000000XNone listed

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

About NPI 1295939049

Shell Lake SNF LLC's National Provider Identifier is 1295939049, issued on Jun 14, 2007. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Shell Lake, WI. The record was last updated on Aug 18, 2025.