Organization · Type 2 NPI
Ashley Zimdahl
Pediatric Skilled Nursing Facility · Campbellsport, WI
NPI number
1629302872
Active
Practice location
N2364 Sunset Dr
Campbellsport, WI 53010-2038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | 167706030 (WI) |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
Another provider at this address
About NPI 1629302872
Ashley Zimdahl's National Provider Identifier is 1629302872, issued on Sep 21, 2009. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Campbellsport, WI. The record was last updated on Sep 21, 2009.