Organization · Type 2 NPI
State of Wisconsin
Skilled Nursing Facility · King, WI
Practice location
N2665 County Road Qq
King, WI 54946
Fax (715) 258-1677
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 2485 (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…
14 other providers at this address
- Wisconsin Veterans Home PhcyLong Term Care Pharmacy King, WI NPI 1235151267
- Ashley Caves, MS CCC-SLPSpeech-Language Pathologist King, WI NPI 1073029286
- Cynthia Ann Rendall, APNPFamily Nurse Practitioner King, WI NPI 1558803007
- Danielle Kaufert, PTAPhysical Therapy Assistant King, WI NPI 1841851268
- Debbie Le Le, LPN, PHARMACY TECHLicensed Practical Nurse King, WI NPI 1477509941
- James Alan Lebouef, DDSDentist King, WI NPI 1982846283
- Jodi Ann Dailey, APNPPsychiatric/Mental Health Nurse Practitioner King, WI NPI 1205143542
- Lisa Lebouef, SLPSpeech-Language Pathologist King, WI NPI 1568738029
- Marion Linda Johnson Rice, PHARMACY TECHPharmacy Technician King, WI NPI 1215977525
- Melissa R. Duberstein, COTAOccupational Therapy Assistant King, WI NPI 1992201578
- Nancy Jean Bergey, NURSE PRACTITIONERAdult Psychiatric/Mental Health Clinical Nurse Specialist King, WI NPI 1760699896
- Robert C. Bradley, RPHPharmacist King, WI NPI 1588603070
About NPI 1366439986
State of Wisconsin's National Provider Identifier is 1366439986, issued on Sep 29, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in King, WI. The record was last updated on Jan 6, 2026.