Organization · Type 2 NPI

North Oak Health Care Wisteria Haus LLC

Nursing Facility/Intermediate Care Facility · Two Rivers, WI

NPI number 1417466152 Active

Practice location

2741 45th St
Two Rivers, WI 54241-1002

Fax (920) 794-4057

Mailing address

1025 Shermer Rd
Northbrook, IL 60062-3730

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility 310400000XNone listed
Nursing Facility/Intermediate Care Facility Primary 313M00000X0016823 (WI)

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 1417466152

North Oak Health Care Wisteria Haus LLC's National Provider Identifier is 1417466152, issued on Sep 26, 2017. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Two Rivers, WI. The record was last updated on Aug 14, 2020.