Organization · Type 2 NPI

1311 Tyler Street Operating Company, LLC

Skilled Nursing Facility · Black River Falls, WI

NPI number 1336505791 Active

Practice location

1311 Tyler St
Black River Falls, WI 54615-1564

Call (715) 284-4396 Map

Fax (715) 284-9580

Mailing address

1726 N Ballard Rd
Appleton, WI 54911-2444

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X3211 (WI)

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 1336505791

1311 Tyler Street Operating Company, LLC's National Provider Identifier is 1336505791, issued on Jan 14, 2016. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Black River Falls, WI. The record was last updated on Apr 5, 2016.