Organization · Type 2 NPI

PH Kenosha LLC

Skilled Nursing Facility · Kenosha, WI

NPI number 1609173590 Active

Practice location

1703 60th St
Kenosha, WI 53140-3986

Mailing address

7444 Long Ave
Skokie, IL 60077-3214

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 1609173590

PH Kenosha LLC's National Provider Identifier is 1609173590, issued on Feb 11, 2011. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Kenosha, WI. The record was last updated on Feb 11, 2011.